Simona Balu, M.D.
Hospitalist Physician · Chicago, IL
Simona Balu, M.D. is a hospitalist physician with a practice address in Chicago, Illinois, and NPI 1629362462, issued on Jun 8, 2011. Check the license (Illinois 036136182, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Simona Balu
- Credential
- M.D.
- Primary taxonomy
- Hospitalist Physician 208M00000X
- License numbers
- 036136182 IL
125.059520 IL
Self-reported in NPPES; status is on the state search - Practice location
- 250 E Erie Street, Chicago, IL 60611
- Phone
- (312) 695-6868
- Enumerated
- Jun 8, 2011
- Record last updated
- Mar 17, 2018 (not updated in 8 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20141106002557); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest hospitalist physician records → All 1,535 in Illinois → Look up another NPI →
Verify Simona Balu in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 036136182Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
8% more Medicare Part D claims than the average hospitalist physician in 2024
565 Medicare Part D claims for 169 beneficiaries, against an average of 521 among the 21,613 providers of this specialty who prescribed in Part D. 20 claims were for opioids.
Most prescribed
- Metoprolol Succinate39 claims
- Atorvastatin Calcium33 claims
- Spironolactone31 claims
- Bumetanide28 claims
- Eliquis28 claims
- Pantoprazole Sodium21 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): 94.1 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
- Northwestern Medical Faculty FoundationLake Forest, IL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Simona Balu among 1,535 hospitalist physician records in Illinois
Simona Balu, M.D. is one of 1,535 hospitalist physician records with a practice address in Illinois. 92% 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 35% of them.
- NPI issued2011 · 35% of these records are older, 60% newer
- In a Medicare fileYes · 92% of these records are
- In the CMS Doctors and Clinicians fileYes · 87% of these records are
- Graduated2009 · median 2013 among the 1,339 with a school on file
- Record last updated2018 · 32% 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 Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Hospitalist Physician providers in Illinois
There are 1,535 hospitalist physician records in Illinois.
All 1,535 in Illinois → Every provider in Chicago → Hospitalist Physician nationwide →
The 8 hospitalist physician records with the nearest ZIP codes
- Abby Agulnek, DOChicago, IL 606111689662942
- Jeffrey Barsuk, MDChicago, IL 606111528031333
- Anjali Desai, M.D.Chicago, IL 606111730126004
- Vinnette Forde, MDChicago, IL 606111033174164
- Peter Kallas, M.D.Chicago, IL 606111760425797
- Michael Kornfeld, MDChicago, IL 606111538198833
- Nita Kulkarni, MDChicago, IL 606111790717460
- Matthew Landler, MDChicago, IL 606111740212398
Common questions
What is Simona Balu, M.D.'s NPI number?
Simona Balu, M.D.'s National Provider Identifier (NPI) is 1629362462, issued on Jun 8, 2011. An NPI identifies a provider in billing; it is not a license.
Where is Simona Balu, M.D. located?
The NPPES record lists a practice address at 250 E Erie Street, Chicago, IL, 60611. Phone: (312) 695-6868. Providers update this record themselves, so call before visiting.
How can I verify Simona Balu, M.D.'s license?
NPPES lists Illinois license number 036136182, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Simona Balu, M.D. prescribe under Medicare Part D?
In 2024, Simona Balu, M.D. had 565 Medicare Part D claims for 169 beneficiaries; the average among hospitalist physician prescribers was 521. Part D covers Medicare prescriptions only.
What is Simona Balu, M.D.'s MIPS final score?
The 2023 MIPS final score is 94.1 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.