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Dr. Ashfaq S. Balla, MD
NPI1740228220PAC ID2567568892
- Medicare services, 2024
- 881
- Medicare patients, 2024
- 348
- Part D claims, 2024
- 809
- Publications
- 1
- MIPS score, 2024
- 100
- Practice address
- 55 Lake Ave, Worcester, MA 01604
- Practice phone
- Call (508) 421-9539
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Pdi Worcester
Worcester, Massachusetts
Find Dr. Balla's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. Ashfaq S. Balla is a nephrologist in Worcester, Massachusetts
Dr. Balla practices at Pdi Worcester in Worcester, Massachusetts.
Dr. Balla's NPI, 1740228220, was assigned on June 4, 2006. Dr. Balla graduated from Government Medical College of Jammu and Kashmire in 1994. Dr. Balla holds Massachusetts license 242372.
NPI and contact details
- NPI
- 1740228220NPI Registry (opens in a new tab)
- Medicare PAC ID
- 2567568892
- NPI enumeration date
- June 4, 2006
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (508) 421-9539
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 58
- Medical school graduation
- 1994
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Ashfaq S. Balla practices at Pdi Worcester in Worcester, Massachusetts
Dr. Balla's primary practice is Pdi Worcester, at 55 Lake Ave, Worcester, MA 01604 in Worcester County. The practice phone is (508) 421-9539.
- Pdi Worcester55 Lake Ave, Worcester, MA 01604 · Worcester CountyPhone(508) 421-9539
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Dr. Ashfaq S. Balla is affiliated with 6 sites of care and 1 medical group
Dr. Balla's primary practice is Pdi Worcester in Worcester, Massachusetts. Dr. Balla is also affiliated with UMass Memorial Medical Center - University Campus. The medical group on file is UMass Memorial Medical Group. Dmand AI also links Dr. Balla to 3 more hospitals and 1 dialysis center, each named with a free account.
Pdi WorcesterPrimary
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Dr. Ashfaq S. Balla's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Balla practices, 5 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Pdi Worcester | Available with a free account |
| +5 more affiliated sites | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Ashfaq S. Balla is one of 351 nephrologists in Massachusetts
Nephrology is Dr. Balla's primary specialty in the NPI Registry, under taxonomy code 207RN0300X. Dr. Balla is board certified in nephrology by the American Board of Internal Medicine. Dmand AI has Dr. Balla's licenses on file in 6 states: Massachusetts, New Hampshire, California, Pennsylvania, Tennessee and North Dakota.
Specialties and state licenses
- Nephrology, MassachusettsPrimary
- New Hampshire license
- California license
- Pennsylvania license
- Tennessee license
- North Dakota license
Clinical focus
Dmand AI lists acute kidney failure, chronic kidney disease, fluid and electrolyte imbalances and kidney disease among the conditions Dr. Balla treats.
Nephrologists near Dr. Balla
Counts of nephrologists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Ashfaq S. Balla billed Medicare for 881 services in 2024
CMS data shows 881 Medicare services from Dr. Balla across 9 procedure codes in 2024, for 348 Medicare patients. Medicare paid $89,000 for them.
Medicare services, 2024881
Medicare patients348
Paid by Medicare$89,000
Procedure codes9
Dr. Balla's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 5522024: 65619%
- Tests and treatments
- 2023: 1902024: 16215%
- Other services
- 2023: 02024: 63
Where Dr. Balla's Medicare services took place, 2024
- In an office33538%
- In a facility54662%
Dr. Balla compared with the Massachusetts median for nephrologists, 2024
- Dr. Balla
- Massachusetts median
- Medicare services
- 881vs 70126% above
- Medicare patients
- 348vs 28223% above
- Part D claims
- 694vs 47147% above
Medians across 333 nephrologists in Massachusetts with Dmand AI profiles that report each measure.
Dr. Balla's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
Need commercial claims for Dr. Balla?
Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Balla and other nephrologists in Massachusetts.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Ashfaq S. Balla treated 348 Medicare patients in 2024, average age 73
CMS counts 348 Medicare patients who saw Dr. Balla in 2024. The largest group is 65 to 74, with 125 patients. 75% of them have chronic kidney disease, and 75% have high blood pressure. 42% are also on Medicaid. Their average risk score is 4.11, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.
Across all payers, Dmand AI patient panel data puts Dr. Balla's median patient age at 74, with 43% women.
Medicare patients, 2024348
Average age73
Average risk score4.11
Also on Medicaid42%
Dr. Balla's Medicare patients by age, 2024
Dr. Balla's Medicare patients by sex, 2024
- Women15444%
- Men19456%
Chronic conditions among Dr. Balla's Medicare patients, 2024
- Chronic kidney disease75%
- High blood pressure75%
- High cholesterol75%
- Diabetes57%
- Heart failure53%
- Ischemic heart disease51%
- Arthritis50%
- Anxiety42%
Share of Medicare patients with each condition. A patient can have several.
Dr. Balla's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 74
Patient panel by sex, all payers
- Women43%
- Men57%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Ashfaq S. Balla wrote 809 Medicare Part D claims in 2024
In 2024, Dr. Balla wrote 809 Medicare Part D claims for 133 patients. 85% of them were for generic drugs. CMS names the drug for 694 of them, across 23 drugs with 11 or more claims each, at $106,841 in total drug cost. In 2023, CMS named 512 claims across 21 drugs.
Part D claims, 2024809
Drugs named by CMS23
Total drug cost$106,841
Part D patients133
Dr. Balla's Part D claims by kind of drug, 2024
- Generic686 claims85%
- Brand-name109 claims13%
- Other14 claims2%
Dr. Balla's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 5122024: 69436%
Drugs named by CMS: 23 in 2024, 21 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Dr. Ashfaq S. Balla scored 100 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 100 out of 100 for Dr. Balla for performance year 2024, reported through an alternative payment model (APM). Dr. Balla accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Dr. Balla's MIPS scores, performance year 2024
- 100of 100Final score
- 83of 100Quality
- 100of 100Promoting Interoperability
- 40of 100Improvement Activities
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026
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Dr. Ashfaq S. Balla has 1 publication on record
Dmand AI links 1 paper to Dr. Balla. Dr. Balla's most frequent co-author is Michael Charles Chobanian, MD.
Papers1
Dr. Balla's most frequent co-authors
Recent publications by Dr. Balla
See who Dr. Balla researches with
Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Balla works with, so you can find a warm path to the right nephrologists.
Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage
Dr. Ashfaq S. Balla received $262 in industry payments from 2016 to 2025
CMS Open Payments shows 17 general payments to Dr. Balla from 3 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 52% of the total. Mallinckrodt LLC paid the most, $226.
General payments to Dr. Balla by program year, 2016 to 2025
General payments to Dr. Balla by kind, 2016 to 2025
$262in total
- Food and beverage$13752%
- Education$12548%
Companies that paid Dr. Balla the most, 2016 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Ashfaq S. Balla has 2 awards and honors on record
Dmand AI lists 2 awards for Dr. Balla, most recently CMS Stage 1 2012 in 2012.
Awards and honors for Dr. Balla
- 2012
- CMS Stage 1 2012
- Undated
- ASN Fellow
Source: Dmand AI Professional Profile Data
Dr. Ashfaq S. Balla graduated from Government Medical College of Jammu and Kashmire
Dr. Balla graduated from Government Medical College of Jammu and Kashmire in 1994. Dr. Balla is a member of ASN.
- Medical school
- Board certified in nephrology
Source: Dmand AI Professional Profile Data
Dr. Ashfaq S. Balla accepts plans from 17 insurance carriers
Dr. Balla is in network with 17 carriers, including Elevance, Aetna and Blue Cross Blue Shield of Michigan. Medicare plans come from the most carriers, 9. Check the plan with the practice before a visit.
- Elevance
- Aetna
- Blue Cross Blue Shield of Michigan
- United Healthcare
- Blue Cross Blue Shield of Massachusetts
- HCSC
- Aspirus Health Plan
- Molina
- +9 more carriersWith a free account
Plan types Dr. Balla accepts, by number of carriers
- Medicare9
- PPO9
- HMO8
- POS5
- EPO4
- Medicaid4
Source: Dmand AI Insurance Network Data
Sources for Dr. Ashfaq S. Balla's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab) |
| Publications, topics and co-authors | PubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Awards and committee roles | Dmand AI Professional Profile Data |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Ashfaq S. Balla
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Ashfaq S. Balla's NPI number?
Dr. Ashfaq S. Balla's NPI number is 1740228220. It was assigned on June 4, 2006, and it is active in the NPI Registry.
What kind of doctor is Dr. Ashfaq S. Balla?
Dr. Ashfaq S. Balla is a nephrologist in Worcester, Massachusetts. The primary specialty in the NPI Registry is Nephrology Physician (taxonomy code 207RN0300X).
Where does Dr. Ashfaq S. Balla practice?
Dr. Balla practices at 55 Lake Ave, Worcester, MA 01604. Dr. Balla's primary practice is Pdi Worcester in Worcester, Massachusetts. Dmand AI also links Dr. Balla to 3 hospitals and 1 dialysis center.
What is Dr. Ashfaq S. Balla's office phone number?
The practice phone on file for Dr. Balla is (508) 421-9539.
What is Dr. Ashfaq S. Balla's medical license number?
Dr. Balla holds Massachusetts license 242372, one of the licenses on file in 6 states.
Which states has Dr. Ashfaq S. Balla been licensed in?
Dmand AI has state licenses on file for Dr. Balla in Massachusetts (2009 to 2026), New Hampshire (since 2007), California (2005 to 2027), Pennsylvania (2008 to 2012), Tennessee (2009 to 2011) and North Dakota (2003 to 2007).
Which hospitals is Dr. Ashfaq S. Balla affiliated with?
Dr. Balla is affiliated with UMass Memorial Medical Center - University Campus. Dmand AI links Dr. Balla to 3 more hospitals.
What medical group is Dr. Ashfaq S. Balla part of?
Dr. Balla is linked to UMass Memorial Medical Group.
Does Dr. Ashfaq S. Balla accept Medicare?
Yes. CMS data shows Dr. Balla billed Medicare for 881 services in 2024, and Dr. Balla accepts Medicare assignment.
What is Dr. Ashfaq S. Balla's MIPS score?
Dr. Balla's MIPS final score for performance year 2024 is 100 out of 100, reported through an alternative payment model (APM).
Show 10 more questionsShow fewer questions
How many Medicare patients does Dr. Ashfaq S. Balla see?
CMS counts 348 Medicare patients who saw Dr. Balla in 2024, with an average age of 73.
Is Dr. Ashfaq S. Balla board certified?
Yes. Dr. Balla is board certified in nephrology by the American Board of Internal Medicine.
What services does Dr. Ashfaq S. Balla bill to Medicare?
In 2024, Dr. Balla's most billed Medicare services were hospital inpatient care (99232), office visit, established patient (99214) and dialysis (90961).
Where did Dr. Ashfaq S. Balla go to medical school?
Dr. Balla graduated from Government Medical College of Jammu and Kashmire in 1994.
What drugs does Dr. Ashfaq S. Balla prescribe most?
In 2024 Medicare Part D data, Dr. Balla's most prescribed drugs by claims were Losartan Potassium, Amlodipine Besylate and Furosemide.
Has Dr. Ashfaq S. Balla received payments from drug or device companies?
CMS Open Payments shows $262 in general payments to Dr. Balla from 3 companies from 2016 to 2025. The largest total came from Mallinckrodt LLC.
How long has Dr. Ashfaq S. Balla been practicing?
Dr. Balla graduated from medical school in 1994, 32 years ago.
Does Dr. Ashfaq S. Balla do research?
Dmand AI links 1 publication to Dr. Balla.
Who does Dr. Ashfaq S. Balla publish with?
Dr. Balla's most frequent co-authors are Michael Charles Chobanian, MD (1 shared paper).
What insurance does Dr. Ashfaq S. Balla accept?
Dr. Balla is in network with 17 carriers, including Elevance, Aetna and Blue Cross Blue Shield of Michigan. Medicare plans come from the most carriers, 9. Check the plan with the practice before a visit.
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