Dr. Anil R. Balani, MD
- Medicare services, 2024
- 274
- Medicare patients, 2024
- 173
- Part D claims, 2024
- 597
- Clinical trials
- 2
- MIPS score, 2024
- 97
- Practice address
- One Capital Way, Pennington, NJ 08534
- Practice phone
- Call (609) 303-4000
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Find Dr. Balani'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. Anil R. Balani is a gastroenterologist in Pennington, New Jersey
Dr. Balani practices at Capital Health Medical Center - Hopewell in Pennington, New Jersey, part of Capital Health System.
Dr. Balani's NPI, 1972779098, was assigned on May 8, 2008. Dr. Balani graduated from State University of New York at Stony Brook, School of Medicine in 2002. Dr. Balani holds New Jersey license 25MA08408000.
- NPI
- 1972779098NPI Registry (opens in a new tab)
- Medicare PAC ID
- 7012082407
- NPI enumeration date
- May 8, 2008
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (609) 303-4000
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 50
- Medical school graduation
- 2002
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Anil R. Balani practices at 2 locations in Pennington, New Jersey
Dr. Balani's primary practice is Capital Health Medical Center - Hopewell, at One Capital Way, Pennington, NJ 08534 in Mercer County. The practice phone is (609) 303-4000. Dr. Balani also practices at Capital Health Medical Center - Hopewell, 1 Capital Way, Pennington, NJ 08534.
- Capital Health Medical Center - HopewellPrimaryOne Capital Way, Pennington, NJ 08534 · Mercer CountyPhone(609) 303-4000
- Capital Health Medical Center - Hopewell1 Capital Way, Pennington, NJ 08534 · Mercer CountyPhone(609) 815-7998
Sources: NPPES NPI Registry (CMS); Dmand AI Affiliation Data; and Dmand AI Practice Data
Dr. Anil R. Balani is affiliated with 3 sites of care and 1 medical group
Dr. Balani's primary practice is Capital Health Medical Center - Hopewell in Pennington, New Jersey, part of Capital Health System. Dr. Balani is also affiliated with Capital Health Regional Medical Center. The medical group on file is Capital Health Medical Group. Dmand AI also links Dr. Balani to 1 more group practice or clinic, named with a free account.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Dr. Anil R. Balani's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Balani practices, 3 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Capital Health Medical Center - Hopewell | Available with a free account |
| +2 more affiliated sites | Available with a free account |
Source: Dmand AI Technology Install Data
For health IT teams
Dmand AI maps EHR vendors, IT decision makers and buying committees across Capital Health System and 6.2K+ hospitals, with verified contacts in the same login.
Dr. Anil R. Balani is one of 691 gastroenterologists in New Jersey
Gastroenterology is Dr. Balani's primary specialty in the NPI Registry, under taxonomy code 207RG0100X. Dmand AI has Dr. Balani's licenses on file in 3 states: New Jersey, New York and Pennsylvania.
Specialties and state licenses
- Gastroenterology, New JerseyPrimary
- New York license
- Pennsylvania license
Gastroenterologists near Dr. Balani
Counts of gastroenterologists 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. Anil R. Balani billed Medicare for 274 services in 2024
CMS data shows 274 Medicare services from Dr. Balani across 7 procedure codes in 2024, for 173 Medicare patients. Medicare paid $30,108 for them.
Dr. Balani's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 1602024: 17610%
- Surgery
- 2023: 582024: 9869%
- Tests and treatments
- 2023: 122024: 0100%
Where Dr. Balani's Medicare services took place, 2024
- In an office7026%
- In a facility20474%
Dr. Balani compared with the New Jersey median for gastroenterologists, 2024
- Dr. Balani
- New Jersey median
- Medicare services
- 274vs 68560% below
- Medicare patients
- 173vs 37554% below
- Part D claims
- 493vs 61119% below
Medians across 674 gastroenterologists in New Jersey with Dmand AI profiles that report each measure.
Dr. Balani'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.
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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Anil R. Balani treated 173 Medicare patients in 2024, average age 70
CMS counts 173 Medicare patients who saw Dr. Balani in 2024. The largest group is 65 to 74, with 104 patients. 75% of them have high cholesterol, and 65% have high blood pressure. 20% are also on Medicaid. Their average risk score is 1.33, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. Balani's median patient age at 57, with 54% women.
Dr. Balani's Medicare patients by age, 2024
Dr. Balani's Medicare patients by sex, 2024
- Women10259%
- Men7141%
Chronic conditions among Dr. Balani's Medicare patients, 2024
- High cholesterol75%
- High blood pressure65%
- Arthritis43%
- Diabetes31%
- Mood disorders31%
- Anxiety28%
- Ischemic heart disease28%
- Chronic kidney disease23%
Share of Medicare patients with each condition. A patient can have several.
Dr. Balani's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 57
Patient panel by sex, all payers
- Women54%
- Men44%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Anil R. Balani wrote 597 Medicare Part D claims in 2024
In 2024, Dr. Balani wrote 597 Medicare Part D claims for 182 patients. 63% of them were for generic drugs. CMS names the drug for 493 of them, across 15 drugs with 11 or more claims each, at $2,449,409 in total drug cost. In 2023, CMS named 437 claims across 13 drugs.
Dr. Balani's Part D claims by kind of drug, 2024
- Generic376 claims63%
- Brand-name221 claims37%
Dr. Balani'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.
Drug classes CMS tracks in Dr. Balani's Part D claims, 2024
- Antibiotics4%23 of 597 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 4372024: 49313%
Drugs named by CMS: 15 in 2024, 13 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. Anil R. Balani scored 97 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 97 out of 100 for Dr. Balani for performance year 2024, reported through an alternative payment model (APM). Dr. Balani accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 49 procedures of colonoscopy by Dr. Balani, more than 63% of the clinicians it reports for that procedure.
- Accepts Medicare assignment
- Yes
Dr. Balani's MIPS scores, performance year 2024
- 97of 100Final score
- 79.4of 100Quality
- 100of 100Promoting Interoperability
- 40of 100Improvement Activities
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Where Dr. Balani ranks in Medicare procedure volume
- Colonoscopy
- 63rd percentile49 procedures
- Upper gastrointestinal (GI) endoscopy for acid reflux
- 52nd percentile23 procedures
CMS ranks each clinician against every clinician it reports for the same procedure category.
Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)
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Dr. Anil R. Balani has worked on 2 clinical trials
Dmand AI links Dr. Balani to 2 clinical trials. Conditions studied include Colitis, Ulcerative and Colitis. Eli Lilly and Company sponsors the most, 2. Open Payments lists research payments to Dr. Balani that name 2 trials.
Conditions in Dr. Balani's trials
- Colitis, Ulcerative
- Colitis
Investigators on the most trials with Dr. Balani
- Bincy Paulose Abraham, MD2 shared trials
- Waqqas Afif, MD2 shared trials
- Yasmin Alishahi, MD2 shared trials
Recent clinical trials with Dr. Balani
Sources: Open Payments (CMS), 2025 data, released July 7, 2026; ClinicalTrials.gov (National Library of Medicine); and Dmand AI Research Linkage
Dr. Anil R. Balani received $135,853 in industry payments from 2016 to 2025
CMS Open Payments shows 210 general payments to Dr. Balani from 16 drug and device companies from 2016 to 2025. Speaker and faculty fees make up the largest share, 87% of the total. Abbvie Inc. paid the most, $99,657. It also lists 4 research payments totaling $1,993 from 2018 to 2020, naming 2 clinical trials.
General payments to Dr. Balani by program year, 2016 to 2025
General payments to Dr. Balani by kind, 2016 to 2025
- Speaker and faculty fees$118,25287%
- Honoraria$6,6005%
- Food and beverage$5,9874%
- Travel and lodging$5,0144%
Companies that paid Dr. Balani 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. Anil R. Balani graduated from State University of New York at Stony Brook, School of Medicine
Dr. Balani graduated from State University of New York at Stony Brook, School of Medicine in 2002.
- Medical school
Source: Dmand AI Professional Profile Data
Sources for Dr. Anil R. Balani'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 Affiliation DataDmand AI Practice Data |
| Primary practice, affiliations and health system | Dmand 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)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab) |
| Clinical trials and co-investigators | ClinicalTrials.gov (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile 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. Anil R. Balani
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. Anil R. Balani's NPI number?
Dr. Anil R. Balani's NPI number is 1972779098. It was assigned on May 8, 2008, and it is active in the NPI Registry.
What kind of doctor is Dr. Anil R. Balani?
Dr. Anil R. Balani is a gastroenterologist in Pennington, New Jersey. The primary specialty in the NPI Registry is Gastroenterology Physician (taxonomy code 207RG0100X).
Where does Dr. Anil R. Balani practice?
Dr. Balani practices at One Capital Way, Pennington, NJ 08534. Dr. Balani also practices at 1 Capital Way, Pennington, NJ 08534. Dr. Balani's primary practice is Capital Health Medical Center - Hopewell in Pennington, New Jersey, part of Capital Health System. Dmand AI also links Dr. Balani to 1 group practice or clinic.
What is Dr. Anil R. Balani's office phone number?
The practice phone on file for Dr. Balani is (609) 303-4000.
What is Dr. Anil R. Balani's medical license number?
Dr. Balani holds New Jersey license 25MA08408000, one of the licenses on file in 3 states.
Which states has Dr. Anil R. Balani been licensed in?
Dmand AI has state licenses on file for Dr. Balani in New Jersey, New York and Pennsylvania.
Which hospitals is Dr. Anil R. Balani affiliated with?
Dr. Balani practices at Capital Health Medical Center - Hopewell in Pennington, New Jersey. Dr. Balani is also affiliated with Capital Health Regional Medical Center.
What medical group is Dr. Anil R. Balani part of?
Dr. Balani is linked to Capital Health Medical Group.
Does Dr. Anil R. Balani accept Medicare?
Yes. CMS data shows Dr. Balani billed Medicare for 274 services in 2024, and Dr. Balani accepts Medicare assignment.
What is Dr. Anil R. Balani's MIPS score?
Dr. Balani's MIPS final score for performance year 2024 is 97 out of 100, reported through an alternative payment model (APM).
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How many Medicare patients does Dr. Anil R. Balani see?
CMS counts 173 Medicare patients who saw Dr. Balani in 2024, with an average age of 70.
What services does Dr. Anil R. Balani bill to Medicare?
In 2024, Dr. Balani's most billed Medicare services were hospital inpatient care (99232), office visit, established patient (99214) and surgery: digestive system (45380).
Where did Dr. Anil R. Balani go to medical school?
Dr. Balani graduated from State University of New York at Stony Brook, School of Medicine in 2002.
What drugs does Dr. Anil R. Balani prescribe most?
In 2024 Medicare Part D data, Dr. Balani's most prescribed drugs by claims were Sod Sulf-Potass Sulf-Mag Sulf, Stelara and Pantoprazole Sodium.
Has Dr. Anil R. Balani received payments from drug or device companies?
CMS Open Payments shows $135,853 in general payments to Dr. Balani from 16 companies from 2016 to 2025. The largest total came from Abbvie Inc.
How long has Dr. Anil R. Balani been practicing?
Dr. Balani graduated from medical school in 2002, 24 years ago.
Does Dr. Anil R. Balani do research?
Dr. Balani has worked on 2 clinical trials.
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