NPPES file of Aug 9, 2026

Elena Balica, M.D.

Hospitalist Physician · New Haven, CT

Elena Balica, M.D. is a hospitalist physician with a practice address in New Haven, Connecticut, and NPI 1467731091, issued on Aug 14, 2011. Check the license (Connecticut 052884, as entered in NPPES) on the Connecticut Medical Examining Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1467731091
Name
Elena Balica
Credential
M.D.
Primary taxonomy
Hospitalist Physician 208M00000X
License number
052884 CT
Self-reported in NPPES; status is on the state search
Practice location
20 York St, New Haven, CT 06510
Phone
(203) 688-4748
Enumerated
Aug 14, 2011
Record last updated
May 19, 2014 (not updated in 12 years: call before relying on the address or phone)
Fax
(203) 688-4740
Medicare enrollment
Enrolled (PECOS I20140808000437); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 20 York St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Cyrena Abbasi, MDStudent in an Organized Health Care Education/Training Program1609703289
  2. Ali Abboud, MD, MBAStudent in an Organized Health Care Education/Training Program1942943097
  3. Basil Abdalla, MDStudent in an Organized Health Care Education/Training Program1154905057
  4. Jasmina AbdallaStudent in an Organized Health Care Education/Training Program1700638590
  5. Sarah AbdallahPsychiatry Physician1740800952
  6. Usama Abdelghany, PHARM DOncology Pharmacist1548827843

Verify Elena Balica in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersConnecticut Medical Examining Board
    Search for license 052884
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Connecticut license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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The MIPS final score for 2023 (Medicare payment program): 93.3 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.

  1. Qualityout of 100 · 30% of the final score81.7
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%78.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Northeast Medical Group IncNew Haven, CT

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Elena Balica among 400 hospitalist physician records in Connecticut

Elena Balica, M.D. is one of 400 hospitalist physician records with a practice address in Connecticut. 94% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2011, is newer than 37% of them.

  • NPI issued2011 · 37% of these records are older, 58% newer
  • In a Medicare fileYes · 94% of these records are
  • In the CMS Doctors and Clinicians fileYes · 83% of these records are
  • Graduated2006 · median 2011 among the 332 with a school on file
  • Record last updated2014 · 51% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208M00000X and a Connecticut practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

171 hospitalist physician records list a practice address in New Haven

They are 171 of the 9,793 NPPES records with a practice address in New Haven, and 400 hospitalist physician records in Connecticut.

The 8 hospitalist physician records with the nearest ZIP codes

  1. Santhi Chinni, MDNew Haven, CT 065101780788182
  2. Shuta Ishibe, MDNew Haven, CT 065101932166659
  3. Peter Jenei, M.D.New Haven, CT 065101508952359
  4. Peter Jensen, M.D.New Haven, CT 065101861484917
  5. Anita Karne, MDNew Haven, CT 065101952400566
  6. Ajay Kota, M.D.New Haven, CT 065101942413646
  7. Anthony Manzon, M.D.New Haven, CT 065101770632796
  8. Karim Namek, M.D.New Haven, CT 065101598786428

Common questions

What is Elena Balica, M.D.'s NPI number?

Elena Balica, M.D.'s National Provider Identifier (NPI) is 1467731091, issued on Aug 14, 2011. An NPI identifies a provider in billing; it is not a license.

Where is Elena Balica, M.D. located?

The NPPES record lists a practice address at 20 York St, New Haven, CT, 06510. Phone: (203) 688-4748. Providers update this record themselves, so call before visiting.

How can I verify Elena Balica, M.D.'s license?

NPPES lists Connecticut license number 052884, as entered by the provider. Search the Connecticut Medical Examining Board at https://www.elicense.ct.gov/Lookup/LicenseLookup.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

What is Elena Balica, M.D.'s MIPS final score?

The 2023 MIPS final score is 93.3 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.