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Active NPI 1619504115 Individual Practitioner Male Practitioner

Dr. Arjun Balakumar , MD

Emergency Medicine • Boston, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Arjun Balakumar, MD is a certified Emergency Medicine practicing in Boston, MA. With approximately 3 years of clinical experience since completing medical education in 2023, Dr. Balakumar delivers high-quality medical care to the local community at 75 FRANCIS ST.

Dr. Balakumar maintains professional affiliations with Massachusetts General Physicians Organization Inc, Brigham And Womens Physicians Organization Inc, Nantucket Cottage Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

75 Francis St

Boston, MA 021156110

Telephone 6177325500
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Boston, MA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -12.4 yrs vs City Avg
City Avg: 15.4 Yrs
State Avg: 24.2 Yrs
Regional Practice Density
546 Specialists

Practicing in Boston, MA (1875 Statewide)

Telehealth Adoption Rate
1.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
79.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Balakumar (3 Years) 3 Yrs
Boston Specialty Average (15.4 Years) 15.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
118 116 $850.41 $176.73
99284 Emergency department visit with moderate level of medical decision making
63 60 $649.79 $119.07
99283 Emergency department visit with low level of medical decision making
29 26 $411.52 $69.92
93308 Ultrasound of heart, follow-up
17 17 $117.82 $25.73
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
17 17 $805.00 $181.17

Medical Specialties & State Licenses

CMS Verified: 2025-05-07
Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License MA 1018138

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License GU M-2368

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Massachusetts General Physicians Organization Inc

55 Fruit St, Boston, MA 021142696

Phone: 6177240287

Brigham And Womens Physicians Organization Inc

75 Francis St, Boston, MA 021156110

Phone: 6177325500

Nantucket Cottage Hospital

57 Prospect St, Nantucket, MA 025542799

Phone: 5088258100

Secondary Practice Locations

101 Nicolls Rd

Stony Brook, NY 117940001

Phone: 6314443880

55 Fruit St

Boston, MA 021142621

Phone: 6177244133

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Chi Yuen Chan , MD

Student in an Organized Health Care Education/Training Program

NPI 1003104373

Doctor of Medicine (M.D.)

Cara Richards

Physician Assistant

NPI 1003163965
Dr. Jaimie Manlucu , MD

Student in an Organized Health Care Education/Training Program

NPI 1003194242

Doctor of Medicine (M.D.)

Dr. Joseph Taylor , MD, PhD

Psychiatry & Neurology - Psychiatry

NPI 1003203936

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

NPI 1003207762

MDMPH

Lara Coakley

Nurse Practitioner - Family

NPI 1003221136

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location May 07, 2025

Registered at 75 FRANCIS ST, BOSTON, MA 021156110 (Tel: 6177325500)

📍
Updated Business Mailing Address May 07, 2025

Registered at 775 BEACON ST APT 305, BOSTON, MA 022153210 (Tel: 5166430535)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2025

Emergency Medicine (License #M-2368 in GU)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2024

Emergency Medicine (License #1018138 in MA)

NPI Profile Active March 25, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location March 25, 2020

Registered at 101 NICOLLS RD, STONY BROOK, NY 117940001 (Tel: 6314443880)

📍
Updated Business Mailing Address March 25, 2020

Registered at 101 NICOLLS RD, STONY BROOK, NY 117940001

👤
Provider Name / Credentials Updated March 25, 2020

Recorded as ARJUN BALAKUMAR, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 25, 2020

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: 1619504115
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 25, 2020
Last Update: May 07, 2025
Sole Proprietor: No

Mailing Address

775 Beacon St Apt 305

Boston, MA 022153210

Phone: 5166430535

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.