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Active NPI 1750432142 Individual Practitioner Female Practitioner

Vidya Nandini Balkishun , PA-C

Physician Assistant • Rehoboth Beach, DE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Vidya Balkishun, PA-C is a certified Physician Assistant practicing in Rehoboth Beach, DE. With approximately 38 years of clinical experience since completing medical education in 1988, Vidya Balkishun delivers high-quality medical care to the local community at 18947 JOHN J WILLIAMS HWY UNIT 101.

Vidya Balkishun is affiliated with Auburn Community Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

18947 John J Williams Hwy Unit 101

Rehoboth Beach, DE 199714480

Telephone 3026453770
Fax 3026455718
Associated Practice Facility / Clinic
🏢 Thompson Oncology Group Facility NPI 1619975737

Medicare Profile & Education

Medical School

Other

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Rehoboth Beach, DE

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
38 Yrs +24.1 yrs vs City Avg
City Avg: 13.9 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
15 Specialists

Practicing in Rehoboth Beach, DE (697 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
75.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Balkishun (38 Years) 38 Yrs
Rehoboth Beach Specialty Average (13.9 Years) 13.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
79 77 $776.00 $148.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
45 43 $107.00 $82.28
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
21 17 $250.29 $66.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
13 13 $500.92 $111.47

Medical Specialties & State Licenses

CMS Verified: 2024-10-21
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License DE C5-0012102

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License PA MA051675

Definition to come...

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License TN 4813

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
Q070965 (TN)

Hospital & Practice Group Affiliations

Auburn Community Hospital

17 Lansing St, Auburn, NY 130211983

Phone: 3152557142

Secondary Practice Locations

3400 Spruce St, 3 Ravdin Building, Suite F

Philadelphia, PA 191044206

Phone: 2156623202

1915 White Ave

Knoxville, TN 379162300

Phone: 8653311720

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

29 Associated Practitioners
Elizabeth Wilson , FNP-BC

Nurse Practitioner

NPI 1013294198

Family Nurse Practitioner (Board Certified)

Kathy Marks , RN

Registered Nurse

NPI 1134517816

Registered Nurse

Audrey Umschlag , RN

Registered Nurse

NPI 1154843605

Registered Nurse

Dr. Nisarg Desai , MD

Internal Medicine - Medical Oncology

NPI 1174768956

Doctor of Medicine (M.D.)

Carolyn Merryman , RN

Registered Nurse

NPI 1194114090

Registered Nurse

Rhonda Owens , APRN

Nurse Practitioner

NPI 1194290346

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location October 21, 2024

Registered at 18947 JOHN J WILLIAMS HWY UNIT 101, REHOBOTH BEACH, DE 199714480 (Tel: 3026453770)

📍
Updated Practice Location December 13, 2021

Registered at 1915 WHITE AVE, KNOXVILLE, TN 379162300 (Tel: 8653311720)

📍
Updated Business Mailing Address December 13, 2021

Registered at 1915 WHITE AVE, KNOXVILLE, TN 379162300 (Tel: 8653311720)

NPI Profile Active January 24, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location January 24, 2011

Registered at 3400 SPRUCE ST, 3 RAVDIN BUILDING, SUITE F, PHILADELPHIA, PA 191044206 (Tel: 2156623202)

📍
Updated Business Mailing Address January 24, 2011

Registered at 3400 SPRUCE ST, 3 RAVDIN BUILDING STE F, PHILADELPHIA, PA 191044206

👤
Provider Name / Credentials Updated January 24, 2011

Recorded as VIDYA BALKISHUN, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2011

Physician Assistant (License #MA051675 in PA)

🟢
Initial NPI Registration & Enumeration January 15, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750432142
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 15, 2007
Last Update: October 21, 2024
Sole Proprietor: No

Mailing Address

1915 White Ave

Knoxville, TN 379162300

Phone: 8653311720

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.