2026 NPPES data Gastroenterology Physician NPI 1427096478 MD
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AMBIKA BALI, MD

Gastroenterology Physician in ANAHEIM, California. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
478
Medicare Part D claims · 247 beneficiaries · Gastroenterology Physician avg: 833
Industry payments
$379.59
17 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

AMBIKA BALI, MD filed 478 Medicare Part D claims in 2023 as a Gastroenterology Physician in ANAHEIM, California.

478
Part D claims, 2023
$379.59
industry payments (Sunshine Act)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

AMBIKA BALI, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

478 Top 38% higher than 62% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). This entry sits in this band. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board-eligible specialty (heuristic — not verified)

AMBIKA BALI, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about AMBIKA BALI, MD?

Quality data not reported

NPI registry status

Active

Issued 06/03/2006

NPI 1427096478

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

478 43% vs specialty avg

2023 prescription claims

Specialty avg: 833

Specialty distribution in California

How Gastroenterology Physician compares to other specialties among California providers

California providers

Gastroenterology Physician share within California

1. Gastroenterology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Gastroenterology Physician share within California

Specialty board-certification context

Estimated specialty board-certified rate — Gastroenterology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Gastroenterology Physician ABMS/AOA estimate

Est. board-certified rate (Gastroenterology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Gastroenterology Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

AMBIKA BALI, MD appears in the CMS NPPES registry as a Gastroenterology Physician provider holding MD credentials at 1211 W LA PALMA AVE STE 409, ANAHEIM, CA, 92801, with a listed phone of (714) 999-0909. NPI 1427096478 was issued on 06/03/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALI most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 478 prescription claims written by this provider, covering 247 Medicare beneficiaries and totaling roughly $67K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1211 W LA PALMA AVE STE 409
ANAHEIM, CA 92801

Provider Details

NPI 1427096478
Specialty Gastroenterology Physician
Credentials MD
Gender Female
NPI Issued 06/03/2006

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for AMBIKA BALI, MD. Source: openpaymentsdata.cms.gov.

Total received

$380

Largest payer

QOL Medical, LLC

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — California MBC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 — they are NOT specific to AMBIKA BALI, MD. To verify AMBIKA BALI, MD's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

478
Total Claims
$67K
Total Drug Cost
247
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
610
Total Day Supply
11,872
Generic Drug Cost
$9K
Antibiotic Claims
38

Patient Demographics

Average Patient Age
72.0 years
Avg HCC Risk Score
1.39
Gender Split
67% female / 33% male
Age Distribution
<65: 22, 65-74: 150, 75-84: 58, 85+: 17

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What AMBIKA BALI, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Famotidine
45
Pantoprazole Sodium
39
Omeprazole
37
Hydrocortisone
25
Metronidazole
16
Azathioprine
14
Ursodiol
13
Gavilyte-G
"Peg3350/Sod Sulf
N/A
Peg-3350 And Electrolytes
"Peg3350/Sod Sulf
N/A

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Gastroenterology Physician Overview

How AMBIKA BALI, MD fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

AMBIKA BALI, MD's 478 claims are below the specialty average of 833.

Nearby Gastroenterology Physician Providers in California

Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as BALI.

Compare Gastroenterology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is AMBIKA BALI, MD's specialty?
AMBIKA BALI, MD specializes in Gastroenterology Physician and practices in ANAHEIM, California. Credentials: MD.
How much does AMBIKA BALI, MD prescribe under Medicare Part D?
In 2023, AMBIKA BALI, MD wrote 478 Medicare Part D claims totaling $67K in drug costs for 247 beneficiaries.
Where is AMBIKA BALI, MD located?
AMBIKA BALI, MD is located at 1211 W LA PALMA AVE STE 409, ANAHEIM, CA, 92801. Phone: (714) 999-0909.
What is AMBIKA BALI, MD's NPI number?
AMBIKA BALI, MD's National Provider Identifier (NPI) is 1427096478, issued on 06/03/2006.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does AMBIKA BALI, MD prescribe most often?
Based on 2023 Medicare Part D data, AMBIKA BALI, MD's most frequently prescribed drugs include Famotidine, Pantoprazole Sodium, Omeprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does AMBIKA BALI, MD accept Medicare?
AMBIKA BALI, MD appears in CMS Medicare data with 478 Part D claims and 247 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify AMBIKA BALI, MD's credentials?
AMBIKA BALI, MD's NPI is 1427096478 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology