Raj Ballal, M.D.
Cardiovascular Disease Physician · Edison, NJ
Raj Ballal, M.D. is a cardiovascular disease physician with a practice address in Edison, New Jersey, and NPI 1386645638, issued on Aug 9, 2005. Check the license (New Jersey MA65996, as entered in NPPES) on the New Jersey State Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Raj Ballal
- Credential
- M.D.
- Primary taxonomy
- Cardiovascular Disease Physician 207RC0000X
- License number
- MA65996 NJ
Self-reported in NPPES; status is on the state search - Practice location
- 98 James St, Edison, NJ 08820
- Phone
- (732) 548-2523
- Enumerated
- Aug 9, 2005
- Record last updated
- Jan 14, 2010 (not updated in 16 years: call before relying on the address or phone)
- Fax
- (732) 549-8827
- Medicaid ID
- 7560605 NJ
- Medicare enrollment
- Enrolled (PECOS I20100319000696); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest cardiovascular disease physician records → All 1,102 in New Jersey → Look up another NPI →
Also registered at 98 James St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Nolis Arkoulakis, M.D.Plastic Surgery Physician1487605689
- Renee Armour, MDSurgery Physician1093864779
- Jennifer BacciPhysician Assistant1225625122
- Harold Chung-Loy, M.D.Surgery Physician1811002728
- Howard Cohen, M.D.Cardiovascular Disease Physician1013913110
- Larry Cohen, M.D.Cardiovascular Disease Physician1295731305
Verify Raj Ballal 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 MA65996Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The practice group's MIPS final score for 2023 (Medicare payment program): 75.8 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. 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, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $5,793.22
133 payments; by number, the most common kind was food and beverage; the largest payer was Abbott Laboratories. 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 2 group practices
- Hackensack Meridian Health Medical Group - Primary Care PCEdison, NJ
- Hackensack Meridian Health Medical Group - Specialty Care PCEdison, NJ
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Raj Ballal among 1,102 cardiovascular disease physician records in New Jersey
Raj Ballal, M.D. is one of 1,102 cardiovascular disease physician records with a practice address in New Jersey. 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 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 84% newer
- In a Medicare fileYes · 87% of these records are
- In the CMS Doctors and Clinicians fileYes · 76% of these records are
- Graduated1982 · median 1997 among the 833 with a school on file
- Record last updated2010 · 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 Jersey 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 Jersey
There are 1,102 cardiovascular disease physician records in New Jersey.
All 1,102 in New Jersey → Every provider in Edison → Cardiovascular Disease Physician nationwide →
The 8 cardiovascular disease physician records with the nearest ZIP codes
- Warren Buck, MDEdison, NJ 088201720019532
- Michael Chen, M.D.Edison, NJ 088201790770642
- Larry Cohen, M.D.Edison, NJ 088201295731305
- Howard Cohen, M.D.Edison, NJ 088201013913110
- Yasmin Masood, M.D.Edison, NJ 088201821122722
- Nagin MavaniEdison, NJ 088201174564066
- Mohammad Memon, M.D.Edison, NJ 088201932101755
- Won Jun Park, M.D.Edison, NJ 088201144645979
Common questions
What is Raj Ballal, M.D.'s NPI number?
Raj Ballal, M.D.'s National Provider Identifier (NPI) is 1386645638, issued on Aug 9, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Raj Ballal, M.D. located?
The NPPES record lists a practice address at 98 James St, Edison, NJ, 08820. Phone: (732) 548-2523. Providers update this record themselves, so call before visiting.
How can I verify Raj Ballal, M.D.'s license?
NPPES lists New Jersey license number MA65996, 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.
What is Raj Ballal, M.D.'s MIPS final score?
The 2023 MIPS final score is 75.8 of 100, reported for the practice group. 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.