Active NPI 1295872927 Individual Practitioner Male Practitioner

Dr. Ashwin Balagopal , MD

Internal Medicine • Baltimore, MD

Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Ashwin Balagopal, MD is a certified Internal Medicine practicing in Baltimore, MD. With approximately 26 years of clinical experience since graduating from Icahn School Of Medicine At Mount Sinai in 2000, Dr. Balagopal delivers high-quality medical care to the local community at 1717 E MONUMENT ST.

Dr. Balagopal is affiliated with Johns Hopkins University and does not directly accept Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

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

Practice Location & Contact Primary Location

Practice Address

1717 E Monument St

Baltimore, MD 212870027

Telephone 4109551725

Associated Practice Facility / Clinic

🏢 Johns Hopkins University Facility NPI 1932069648

Medicare Profile & Education

Medical School

Icahn School Of Medicine At Mount Sinai

Graduation Year

2000

Medicare Assignment

Not Specified

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Baltimore, MD

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +5.7 yrs vs City Avg

City Avg: 20.3 Yrs

State Avg: 28.1 Yrs

Regional Practice Density

1337 Specialists

Practicing in Baltimore, MD (4114 Statewide)

Telehealth Adoption Rate

21.9% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

65.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Balagopal (26 Years) 26 Yrs

Baltimore Specialty Average (20.3 Years) 20.3 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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	61	30	$304.11	$120.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	43	43	$579.86	$176.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	20	$223.09	$79.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	19	$217.49	$99.02
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	47	27	$303.00	$126.20
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	33	$578.00	$183.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	62	31	$279.00	$105.47
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	35	35	$542.00	$209.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	12	$210.00	$104.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	113	50	$279.00	$110.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	53	53	$542.00	$215.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	44	13	$279.00	$113.69
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$542.00	$221.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	77	31	$279.00	$111.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	26	$210.00	$84.34
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	43	43	$542.00	$216.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	21	$210.00	$83.24
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	34	19	$279.00	$110.32
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	33	$542.00	$214.86
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	16	$297.00	$117.66

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	29	26	$441.34	$213.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	11	$181.40	$82.73
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	17	13	$243.24	$109.73
99213 Established patient office or other outpatient visit, typically 15 minutes	14	12	$103.86	$53.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	11	$66.31	$26.86

Medical Specialties & State Licenses

CMS Verified: 2026-01-15

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MD D69548

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine - Infectious Disease

NUCC Taxonomy Code: 207RI0200X

State License MD D69548

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Internal Medicine - Infectious Disease

NUCC Taxonomy Code: 207RI0200X

State License OH 35085045

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

417955200 (MD)

Hospital & Practice Group Affiliations

Johns Hopkins University

5601 Lloch Raven Blvd, Baltimore, MD 212392945

Phone: 4434444714

Johns Hopkins University

1800 Orleans St, Baltimore, MD 212870010

Phone: 4109555000

Johns Hopkins University

600 N Wolfe St, Baltimore, MD 212870005

Phone: 4105024340

Johns Hopkins University

600 N Wolf St, Baltimore, MD 212870005

Phone: 4109555000

Johns Hopkins University

5450 Knoll N Dr, Columbia, MD 210452369

Phone: 4435461700

Johns Hopkins University

4940 Eastern Ave, Baltimore, MD 212242735

Phone: 4105500100

Secondary Practice Locations

1830 E Monument St, Room 457

Baltimore, MD 212870020

Phone: 4105022326

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Laura Cheever , MD

Internal Medicine

NPI 1033168083

Doctor of Medicine (M.D.)

Robert Hegarty , CRNP

Nurse Practitioner

NPI 1043242357

Certified Registered Nurse Practitioner

Dr. Richard Chaisson , MD

Internal Medicine

NPI 1063461143

Doctor of Medicine (M.D.)

Dr. Gregory Lucas , MD

Internal Medicine

NPI 1093751810

Doctor of Medicine (M.D.)

George Larson , LCSW-C

Social Worker - Clinical

NPI 1104858414

Licensed Clinical Social Worker - Certified

Dr. Newton Kendig , MD

Internal Medicine - Infectious Disease

NPI 1144261306

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2023

Internal Medicine (License #D69548 in MD)

📍

Updated Practice Location October 06, 2022

Registered at 1717 E MONUMENT ST, BALTIMORE, MD 212870027 (Tel: 4109551725)

📍

Updated Business Mailing Address October 06, 2022

Registered at 6201 GREENLEIGH AVE, MIDDLE RIVER, MD 212202004 (Tel: 4109336423)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2022

Internal Medicine (License #35085045 in OH)

✅

NPI Profile Active November 03, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location November 03, 2009

Registered at 1830 E MONUMENT ST, ROOM 457, BALTIMORE, MD 212870020 (Tel: 4105022326)

📍

Updated Business Mailing Address November 03, 2009

Registered at 611 PARK AVE, SUITE 205, BALTIMORE, MD 212014572 (Tel: 4102448101)

👤

Provider Name / Credentials Updated November 03, 2009

Recorded as ASHWIN BALAGOPAL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2009

Internal Medicine (License #D69548 in MD)

🟢

Initial NPI Registration & Enumeration January 31, 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: 1295872927

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 31, 2007

Last Update: January 15, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6201 Greenleigh Ave

Middle River, MD 212202004

Phone: 4109336423

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.