Ashfaq S. Balla, MD
Nephrology Physician · Worcester, MA
Ashfaq S. Balla, MD is a nephrology physician with a practice address in Worcester, Massachusetts, and NPI 1740228220, issued on Jun 4, 2006. Check the license (Massachusetts 242372, as entered in NPPES) on the Massachusetts Board of Registration in Medicine; the Medicare figures below come from public CMS files.
- Name
- Ashfaq S. Balla
- Credential
- MD
- Primary taxonomy
- Nephrology Physician 207RN0300X
- License number
- 242372 MA
Self-reported in NPPES; status is on the state search - Practice location
- 55 Lake Ave N, Worcester, MA 01655
- Phone
- (508) 856-3155
- Enumerated
- Jun 4, 2006
- Record last updated
- Nov 17, 2020 (not updated in 6 years: call before relying on the address or phone)
- Fax
- (508) 856-3111
- Medicaid ID
- 110084568A MA
- Medicare enrollment
- Enrolled (PECOS I20100304000564); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest nephrology physician records → All 417 in Massachusetts → Look up another NPI →
Also registered at 55 Lake Ave N
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Amarys Abadie, CRNACertified Registered Nurse Anesthetist1992936843
- Paula Abate, NPNurse Practitioner1336265909
- Aly AbayazeedDiagnostic Radiology Physician1821221946
- Zainab AbbasDermatology Physician1609028000
- Mary-Alice Abbott, MDClinical Genetics (M.D.) Physician1982799417
Verify Ashfaq S. Balla in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMassachusetts Board of Registration in Medicine
Search for license 242372Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
45% fewer Medicare Part D claims than the average nephrology physician in 2024
809 Medicare Part D claims for 133 beneficiaries, against an average of 1,465 among the 10,986 providers of this specialty who prescribed in Part D. Brand-name drugs were 13% of claims.
Most prescribed
- Losartan Potassium111 claims
- Amlodipine Besylate77 claims
- Furosemide56 claims
- Sevelamer Carbonate44 claims
- Carvedilol41 claims
- Lisinopril39 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): 97 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: $13.30
5 payments; by number, the most common kind was education; the largest payer was Travere Therapeutics, Inc. The 8,230 providers of this specialty with any payment received $3,091.37 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
- Umass Memorial Medical Group IncWorcester, MA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Ashfaq S. Balla among 417 nephrology physician records in Massachusetts
Ashfaq S. Balla, MD is one of 417 nephrology physician records with a practice address in Massachusetts. 78% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 16% of them.
- NPI issued2006 · 16% of these records are older, 52% newer
- In a Medicare fileYes · 78% of these records are
- In the CMS Doctors and Clinicians fileYes · 71% of these records are
- Graduated1994 · median 2001 among the 295 with a school on file
- Record last updated2020 · 57% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RN0300X and a Massachusetts practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Nephrology Physician providers in Massachusetts
There are 417 nephrology physician records in Massachusetts.
All 417 in Massachusetts → Every provider in Worcester → Nephrology Physician nationwide →
The 8 nephrology physician records with the nearest ZIP codes
- Konstantin Abramov, M.D.Worcester, MA 016551992854707
- Kenneth Bodziak, MDWorcester, MA 016551699790295
- Anil Chandraker, MBCHBWorcester, MA 016551972569176
- David Clive, M.D.Worcester, MA 016551528041100
- Pang-Yen Fan, M.D.Worcester, MA 016551477536936
- Marguerite Hawley, M.D.Worcester, MA 016551841274107
- Eric Iida, MDWorcester, MA 016551275556912
- Glenn Kershaw, M.D.Worcester, MA 016551023092939
Common questions
What is Ashfaq S. Balla, MD's NPI number?
Ashfaq S. Balla, MD's National Provider Identifier (NPI) is 1740228220, issued on Jun 4, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Ashfaq S. Balla, MD located?
The NPPES record lists a practice address at 55 Lake Ave N, Worcester, MA, 01655. Phone: (508) 856-3155. Providers update this record themselves, so call before visiting.
How can I verify Ashfaq S. Balla, MD's license?
NPPES lists Massachusetts license number 242372, as entered by the provider. Search the Massachusetts Board of Registration in Medicine at https://findmydoctor.mass.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Ashfaq S. Balla, MD prescribe under Medicare Part D?
In 2024, Ashfaq S. Balla, MD had 809 Medicare Part D claims for 133 beneficiaries; the average among nephrology physician prescribers was 1,465. Part D covers Medicare prescriptions only.
What is Ashfaq S. Balla, MD's MIPS final score?
The 2023 MIPS final score is 97 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.