2026 NPPES data Internal Medicine Physician NPI 1396373056
Verify on CMS →

HOURIA BALMAKHTAR

Internal Medicine Physician in MELBOURNE, Florida. 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
130
Medicare Part D claims · 52 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$16.77
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

HOURIA BALMAKHTAR filed 130 Medicare Part D claims in 2023 as a Internal Medicine Physician in MELBOURNE, Florida, prescribing 85% generic.

130
Part D claims, 2023
85%
generic prescribing
Likely
board-certified (heuristic)

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.

HOURIA BALMAKHTAR's Medicare Part D volume vs every U.S. prescriber

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

130 35th percentile higher than 35% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 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 certification likely (heuristic — not verified)

HOURIA BALMAKHTAR practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about HOURIA BALMAKHTAR?

Quality data not reported

NPI registry status

Active

Issued 03/30/2020

NPI 1396373056

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

130 95% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

Specialty distribution in Florida

How Internal Medicine Physician compares to other specialties among Florida providers

Florida providers

Internal Medicine Physician share within Florida

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

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Internal Medicine 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).

HOURIA BALMAKHTAR appears in the CMS NPPES registry as a Internal Medicine Physician provider at 1350 HICKORY ST, MELBOURNE, FL, 32901, with a listed phone of (321) 434-1771. NPI 1396373056 was issued on 03/30/2020. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALMAKHTAR 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 130 prescription claims written by this provider, covering 52 Medicare beneficiaries and totaling roughly $9K in drug spend, split 15% brand-name and 85% generic by claim count. 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.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

1350 HICKORY ST
MELBOURNE, FL 32901

Provider Details

NPI 1396373056
Specialty Internal Medicine Physician
Gender Female
NPI Issued 03/30/2020

Hospital and facility affiliations

Facilities where HOURIA BALMAKHTAR bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

HEALTH FIRST MEDICAL GROUP, LLC
MELBOURNE, FL

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

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 HOURIA BALMAKHTAR. Source: openpaymentsdata.cms.gov.

Total received

$17

Largest payer

Sandoz Inc.

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 — Florida FLDOH 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 ~75K Florida medical licensees in 2023 — they are NOT specific to HOURIA BALMAKHTAR. To verify HOURIA BALMAKHTAR's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

HOURIA BALMAKHTAR — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 130 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

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

130
Total Claims
$9K
Total Drug Cost
52
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
138
Total Day Supply
3,024
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$8K
Generic Drug Cost
$1K
Antibiotic Claims
26

Patient Demographics

Average Patient Age
70.2 years
Avg HCC Risk Score
1.88
Gender Split
62% female / 38% male

Internal Medicine Physician Overview

How HOURIA BALMAKHTAR fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

HOURIA BALMAKHTAR's 130 claims are below the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Florida

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

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is HOURIA BALMAKHTAR's specialty?
HOURIA BALMAKHTAR specializes in Internal Medicine Physician and practices in MELBOURNE, Florida.
How much does HOURIA BALMAKHTAR prescribe under Medicare Part D?
In 2023, HOURIA BALMAKHTAR wrote 130 Medicare Part D claims totaling $9K in drug costs for 52 beneficiaries.
Where is HOURIA BALMAKHTAR located?
HOURIA BALMAKHTAR is located at 1350 HICKORY ST, MELBOURNE, FL, 32901. Phone: (321) 434-1771.
What is HOURIA BALMAKHTAR's NPI number?
HOURIA BALMAKHTAR's National Provider Identifier (NPI) is 1396373056, issued on 03/30/2020.
Does HOURIA BALMAKHTAR prescribe more brand-name or generic drugs?
HOURIA BALMAKHTAR's prescribing is 15% brand-name and 85% generic drugs by claim count, with $8K in brand drug costs.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
Does HOURIA BALMAKHTAR accept Medicare?
HOURIA BALMAKHTAR appears in CMS Medicare data with 130 Part D claims and 52 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HOURIA BALMAKHTAR's credentials?
HOURIA BALMAKHTAR's NPI is 1396373056. 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