Anil R. Balani, M.D.
Gastroenterology Physician · Pennington, NJ
Anil R. Balani, M.D. is a gastroenterology physician with a practice address in Pennington, New Jersey, and NPI 1972779098, issued on May 8, 2008. Check the license (New Jersey 25MA08408000, as entered in NPPES) on the New Jersey State Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Anil R. Balani
- Credential
- M.D.
- Primary taxonomy
- Gastroenterology Physician 207RG0100X
- License numbers
- 25MA08408000 NJ
236993 NY
MD434248 PA
Self-reported in NPPES; status is on the state search - Practice location
- 2 Capital Way Ste 380, Pennington, NJ 08534
- Phone
- (609) 537-5000
- Enumerated
- May 8, 2008
- Record last updated
- Dec 10, 2020 (not updated in 6 years: call before relying on the address or phone)
- Fax
- (609) 537-5050
- Medicaid ID
- 0169781 NJ
- Medicare enrollment
- Enrolled (PECOS I20080820000003); accepts Medicare assignment
- Medical or professional school
- State University Of New York At Stony Brook, School Of Medicine, 2002
- Entity
- Type 1 · individual
Also registered at 2 Capital Way Ste 380
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Koy Gola, PA-CPhysician Assistant1649453341
- Jason Rogart, MDGastroenterology Physician1477648426
- Tehinn Tsai, APNFamily Nurse Practitioner1063051902
Verify Anil R. Balani in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNew Jersey State Board of Medical Examiners
Search for license 25MA08408000Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
26% fewer Medicare Part D claims than the average gastroenterology physician in 2024
597 Medicare Part D claims for 182 beneficiaries, against an average of 811 among the 16,445 providers of this specialty who prescribed in Part D. Brand-name drugs were 37% of claims.
Most prescribed
- Sod Sulf-Potass Sulf-Mag Sulf74 claims
- Stelara74 claims
- Pantoprazole Sodium62 claims
- Omeprazole54 claims
- Clenpiq44 claims
- Mesalamine42 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 95.8 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $26,572.92
30 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 13,350 providers of this specialty with any payment received $5,015.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Capital Health Medical GroupPennington, NJ
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Gastroenterology Physician providers in New Jersey
There are 735 gastroenterology physician records in New Jersey.
Other gastroenterology physician records in New Jersey
- Bernard Aaron, M.D.Brick, NJ1962475566
- George Abdelsayed, MDNew Brunswick, NJ1144298613
- Rini Abraham, M.D.Montclair, NJ1285893321
- Melville Ackerman, MDMedford, NJ1598707580
- Faiz AfridiNewark, NJ1124480132
- Anil Agarwal, MDClifton, NJ1497704373
- Sudhir Agarwal, MDSuccasunna, NJ1215006275
- Aakash Aggarwal, MDHackensack, NJ1942597588
- Ahmed Ahmed, DOFort Lee, NJ1093219099
- Rafeeq Ahmed, M.DManahawkin, NJ1740411933
Common questions
What is Anil R. Balani, M.D.'s NPI number?
Anil R. Balani, M.D.'s National Provider Identifier (NPI) is 1972779098, issued on May 8, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Anil R. Balani, M.D. located?
The NPPES record lists a practice address at 2 Capital Way Ste 380, Pennington, NJ, 08534. Phone: (609) 537-5000. Providers update this record themselves, so call before visiting.
How can I verify Anil R. Balani, M.D.'s license?
NPPES lists New Jersey license number 25MA08408000, as entered by the provider. Search the New Jersey State Board of Medical Examiners at https://newjersey.mylicense.com/verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Anil R. Balani, M.D. prescribe under Medicare Part D?
In 2024, Anil R. Balani, M.D. had 597 Medicare Part D claims for 182 beneficiaries; the average among gastroenterology physician prescribers was 811. Part D covers Medicare prescriptions only.
What is Anil R. Balani, M.D.'s MIPS final score?
The 2023 MIPS final score is 95.8 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.