Shailesh Balasubramanian
Pulmonary Disease Physician · Santa Monica, CA
Shailesh Balasubramanian is a pulmonary disease physician with a practice address in Santa Monica, California, and NPI 1164748562, issued on Apr 12, 2010. Check the license (California A168744, as entered in NPPES) on the Medical Board of California; the Medicare figures below come from public CMS files.
- Name
- Shailesh Balasubramanian
- Primary taxonomy
- Pulmonary Disease Physician 207RP1001X
- License numbers
- A168744 CA
274282 NY
Self-reported in NPPES; status is on the state search - Practice location
- 1223 16TH St Ste 3400, Santa Monica, CA 90404
- Phone
- (310) 449-0939
- Enumerated
- Apr 12, 2010
- Record last updated
- Nov 20, 2020 (not updated in 6 years: call before relying on the address or phone)
- Fax
- (424) 259-7790
- Medicare enrollment
- Enrolled (PECOS I20200710001079); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest pulmonary disease physician records → All 1,443 in California → Look up another NPI →
Also registered at 1223 16TH St Ste 3400
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Olawale Amubieya, M.D.Pulmonary Disease Physician1881039238
- Jerome Anyalebechi, MDSurgery Physician1437682440
- Ravi Aysola, M.D.Pulmonary Disease Physician1710008834
- Joanne Bando, MDPulmonary Disease Physician1609083773
- Melisa Chang, M.D.Sleep Medicine (Internal Medicine) Physician1477879070
- Colleen Channick, M.D.Pulmonary Disease Physician1023043775
Verify Shailesh Balasubramanian in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMedical Board of California
Search for license A168744Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
52% fewer Medicare Part D claims than the average pulmonary disease physician in 2024
683 Medicare Part D claims for 116 beneficiaries, against an average of 1,425 among the 11,596 providers of this specialty who prescribed in Part D. Brand-name drugs were 41% of claims.
Most prescribed
- Prednisone76 claims
- Albuterol Sulfate Hfa66 claims
- Trelegy Ellipta63 claims
- Pantoprazole Sodium53 claims
- Ofev34 claims
- Azithromycin30 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): 86.2 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).
Bills Medicare through one group practice
- The Regents OF The University OF CaliforniaLos Angeles, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Shailesh Balasubramanian among 1,443 pulmonary disease physician records in California
Shailesh Balasubramanian is one of 1,443 pulmonary disease physician records with a practice address in California. 84% 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 67% of them.
- NPI issued2010 · 67% of these records are older, 30% newer
- In a Medicare fileYes · 84% of these records are
- In the CMS Doctors and Clinicians fileYes · 74% of these records are
- Graduated2010 · median 2002 among the 1,061 with a school on file
- Record last updated2020 · 55% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RP1001X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Pulmonary Disease Physician providers in California
There are 1,443 pulmonary disease physician records in California.
All 1,443 in California → Every provider in Santa Monica → Pulmonary Disease Physician nationwide →
The 8 pulmonary disease physician records with the nearest ZIP codes
- Ravi Aysola, M.D.Santa Monica, CA 904041710008834
- Hossein Babaali, M.D.Santa Monica, CA 904041699790584
- Joanne Bando, MDSanta Monica, CA 904041609083773
- Gregory Bierer, MDSanta Monica, CA 904041154489433
- James Burrows, M.D.Santa Monica, CA 904041790872281
- Colleen Channick, M.D.Santa Monica, CA 904041023043775
- Burt Charuworn, MDSanta Monica, CA 904041508899808
- Gerard Frank, MDSanta Monica, CA 904041982639571
Common questions
What is Shailesh Balasubramanian's NPI number?
Shailesh Balasubramanian's National Provider Identifier (NPI) is 1164748562, issued on Apr 12, 2010. An NPI identifies a provider in billing; it is not a license.
Where is Shailesh Balasubramanian located?
The NPPES record lists a practice address at 1223 16TH St Ste 3400, Santa Monica, CA, 90404. Phone: (310) 449-0939. Providers update this record themselves, so call before visiting.
How can I verify Shailesh Balasubramanian's license?
NPPES lists California license number A168744, as entered by the provider. Search the Medical Board of California at https://www.mbc.ca.gov/License-Verification/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Shailesh Balasubramanian prescribe under Medicare Part D?
In 2024, Shailesh Balasubramanian had 683 Medicare Part D claims for 116 beneficiaries; the average among pulmonary disease physician prescribers was 1,425. Part D covers Medicare prescriptions only.
What is Shailesh Balasubramanian's MIPS final score?
The 2023 MIPS final score is 86.2 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.