Shefali Sudhir Ballal, M.D.
Anatomic Pathology & Clinical Pathology Physician · Philadelphia, PA
Shefali Sudhir Ballal, M.D. is an anatomic pathology & clinical pathology physician with a practice address in Philadelphia, Pennsylvania, and NPI 1356786727, issued on Apr 30, 2013. Check the license on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.
- Name
- Shefali Sudhir Ballal
- Credential
- M.D.
- Primary taxonomy
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License number
- 25MA09930100 NJ
Self-reported in NPPES; status is on the state search - Practice location
- 245 N 15TH St, Philadelphia, PA 19102
- Phone
- (215) 762-7991
- Enumerated
- Apr 30, 2013
- Record last updated
- Sep 5, 2019 (not updated in 7 years: call before relying on the address or phone)
- Fax
- (215) 762-7002
- Medicare enrollment
- Enrolled (PECOS I20170829002655); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest anatomic pathology & clinical pathology physician records → All 716 in Pennsylvania → Look up another NPI →
Also registered at 245 N 15TH St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Muhammad Ahmad, M.DInternal Medicine Physician1760835169
- Jacob Anderson, M.D.Internal Medicine Physician1467801266
- Nikesh AnumulaInternal Medicine Physician1134482128
- Umair Ashraf, M.D.Internal Medicine Physician1255773396
- Khin Moe Aye, M.D.Anatomic Pathology & Clinical Pathology Physician1235360157
- Shraddha Babariya, M.D.Anatomic Pathology & Clinical Pathology Physician1730561648
Verify Shefali Sudhir Ballal in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersPennsylvania Department of State (PALS)Check 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 MIPS final score for 2023 (Medicare payment program): 95.8 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).
Industry payments in 2024: $17.32
1 payment: food and beverage; the largest payer was Lilly USA, LLC. The 2,607 providers of this specialty with any payment received $3,565.00 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
- Capital Health Medical GroupPennington, NJ
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Shefali Sudhir Ballal among 716 anatomic pathology & clinical pathology physician records in Pennsylvania
Shefali Sudhir Ballal, M.D. is one of 716 anatomic pathology & clinical pathology physician records with a practice address in Pennsylvania. 62% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 74% of them.
- NPI issued2013 · 74% of these records are older, 22% newer
- In a Medicare fileYes · 62% of these records are
- In the CMS Doctors and Clinicians fileYes · 54% of these records are
- Graduated1999 · median 2001 among the 388 with a school on file
- Record last updated2019 · 66% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207ZP0102X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Anatomic Pathology & Clinical Pathology Physician providers in Pennsylvania
There are 716 anatomic pathology & clinical pathology physician records in Pennsylvania.
All 716 in Pennsylvania → Every provider in Philadelphia → Anatomic Pathology & Clinical Pathology Physician nationwide →
The 8 anatomic pathology & clinical pathology physician records with the nearest ZIP codes
- Khin Moe Aye, M.D.Philadelphia, PA 191021235360157
- Manjula Balasubramanian, MDPhiladelphia, PA 191021336191683
- Rekha Bhat, M.DPhiladelphia, PA 191021679735286
- Bela DalwadiPhiladelphia, PA 191021790946606
- Christopher Emery, MDPhiladelphia, PA 191021316999329
- Violeta Gamarra, MDPhiladelphia, PA 191021053324699
- Fernando Garcia, MDPhiladelphia, PA 191021316993652
- Cheryl Hanau, MDPhiladelphia, PA 191021134172174
Common questions
What is Shefali Sudhir Ballal, M.D.'s NPI number?
Shefali Sudhir Ballal, M.D.'s National Provider Identifier (NPI) is 1356786727, issued on Apr 30, 2013. An NPI identifies a provider in billing; it is not a license.
Where is Shefali Sudhir Ballal, M.D. located?
The NPPES record lists a practice address at 245 N 15TH St, Philadelphia, PA, 19102. Phone: (215) 762-7991. Providers update this record themselves, so call before visiting.
How can I verify Shefali Sudhir Ballal, M.D.'s license?
Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
What is Shefali Sudhir Ballal, M.D.'s MIPS final score?
The 2023 MIPS final score is 95.8 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.