Balaji Pratap, MD
Cardiovascular Disease Physician · Middletown, NY
Balaji Pratap, MD is a cardiovascular disease physician with a practice address in Middletown, New York, and NPI 1063725471, issued on Jul 15, 2010. Check the license (New York 271989, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.
- Name
- Balaji Pratap
- Credential
- MD
- Primary taxonomy
- Cardiovascular Disease Physician 207RC0000X
- License number
- 271989 NY
Self-reported in NPPES; status is on the state search - Practice location
- 155 Crystal Run RD, Middletown, NY 10941
- Phone
- (845) 703-6999
- Enumerated
- Jul 15, 2010
- Record last updated
- Nov 18, 2016 (not updated in 10 years: call before relying on the address or phone)
- Fax
- (845) 703-6297
- Medicare enrollment
- Enrolled (PECOS I20160920000011); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest cardiovascular disease physician records → All 2,583 in New York → Look up another NPI →
Also registered at 155 Crystal Run RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Leena Abdelrahman, MDInternal Medicine Physician1467912576
- Vindya Achuthan, MDInternal Medicine Physician1114104619
- Goustina Adly, DOHospitalist Physician1689051054
- Mohamed Hesham Esmat Ahmed Khorshid, MDInternal Medicine Physician1992443709
- Rubina Akhter, MDHospitalist Physician1265694020
- Josephine Amarosa, ANP, BCAdult Health Nurse Practitioner1699768937
Verify Balaji Pratap in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
Search for license 271989Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
70% fewer Medicare Part D claims than the average cardiovascular disease physician in 2024
920 Medicare Part D claims for 164 beneficiaries, against an average of 3,078 among the 20,728 providers of this specialty who prescribed in Part D.
Most prescribed
- Metoprolol Succinate73 claims
- Valsartan67 claims
- Furosemide59 claims
- Eliquis58 claims
- Atorvastatin Calcium57 claims
- Amlodipine Besylate51 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.
No measured MIPS final score for 2023
CMS assigned the neutral MIPS final score of 75 without scoring Quality, Cost, Promoting Interoperability or Improvement Activities. It is an administrative threshold, so PlainDoctor does not compare it with measured clinicians.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $1,375.73
56 payments; by number, the most common kind was food and beverage; the largest payer was Kestra Medical Technology Services, Inc. The 16,686 providers of this specialty with any payment received $3,819.56 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
- Suffolk Cardiac Care, PLLCPatchogue, NY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Balaji Pratap among 2,583 cardiovascular disease physician records in New York
Balaji Pratap, MD is one of 2,583 cardiovascular disease physician records with a practice address in New York. 87% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2010, is newer than 76% of them.
- NPI issued2010 · 76% of these records are older, 21% newer
- In a Medicare fileYes · 87% of these records are
- In the CMS Doctors and Clinicians fileYes · 73% of these records are
- Graduated2007 · median 1998 among the 1,896 with a school on file
- Record last updated2016 · 64% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RC0000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Cardiovascular Disease Physician providers in New York
There are 2,583 cardiovascular disease physician records in New York.
All 2,583 in New York → Every provider in Middletown → Cardiovascular Disease Physician nationwide →
The 8 cardiovascular disease physician records with the nearest ZIP codes
- Michael Cho, M.D.Middletown, NY 109411043310634
- James McLaughlin, MDMiddletown, NY 109411154316131
- Constantine Monzidelis, M.D.Middletown, NY 109411750763504
- Sandeep Singh, M.D.Middletown, NY 109411992787972
- Sherma Winchester-Penny, M.D.Middletown, NY 109411346223591
- Dahlia Banerji, M.D.Middletown, NY 109401003103367
- Nicholas Brodyn, DOHarris, NY 109401144334061
- Francis D'Urso, M.DMiddletown, NY 109401609848431
Common questions
What is Balaji Pratap, MD's NPI number?
Balaji Pratap, MD's National Provider Identifier (NPI) is 1063725471, issued on Jul 15, 2010. An NPI identifies a provider in billing; it is not a license.
Where is Balaji Pratap, MD located?
The NPPES record lists a practice address at 155 Crystal Run RD, Middletown, NY, 10941. Phone: (845) 703-6999. Providers update this record themselves, so call before visiting.
How can I verify Balaji Pratap, MD's license?
NPPES lists New York license number 271989, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Balaji Pratap, MD prescribe under Medicare Part D?
In 2024, Balaji Pratap, MD had 920 Medicare Part D claims for 164 beneficiaries; the average among cardiovascular disease physician prescribers was 3,078. Part D covers Medicare prescriptions only.
What is Balaji Pratap, MD's MIPS final score?
CMS assigned the neutral MIPS final score of 75 for 2023 without scoring any category, so it is not a measured result.
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.