Provider profile

Pratap BalusuMD

Internal Medicine

NPI 1083607519
750 W High St, Ste 250, Lima, OH 45801419-227-7399

Check your plan

Medicare Advantage plans for Allen County, OH.

Checked Oct 24, 2026

Use the name or plan ID on your member card, or choose your insurance company.

Directory results See what each insurance company reports

The 64 Medicare Advantage plans we show for Allen County, OH in 2027

  • 43 list Pratap
  • 21 not listed

UnitedHealthcare

11 plans list Pratap.

11plans
  • AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 750 W High St, Ste 250, Lima, OH, 45801

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage4 starsH5253-144-002Medicare.gov
    $0a month
  • AARP Medicare Advantage Extras from UHC OH-9 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 750 W High St, Ste 250, Lima, OH, 45801

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage4 starsH5253-130-000Medicare.gov
    $0a month
  • AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 750 W High St, Ste 250, Lima, OH, 45801

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage4 starsH5253-135-000Medicare.gov
    $0a month
  • AARP Medicare Advantage Patriot No Rx OH-MA01 (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 750 W High St, Ste 250, Lima, OH, 45801

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4 starsH8768-021-000Medicare.gov
    $0a month

Anthem Blue Cross and Blue Shield

10 plans list Pratap.

10plans
  • Anthem Extra Help (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 750 W High St, Lima, OH, 45801
    • 730 W Market St, Lima, OH, 45801

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH3655-041-000Medicare.gov
    $0a month
  • Anthem Medicare Advantage (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 750 W High St, Lima, OH, 45801
    • 730 W Market St, Lima, OH, 45801

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH3655-045-001Medicare.gov
    $0a month
  • Anthem Veteran (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 750 W High St, Lima, OH, 45801
    • 730 W Market St, Lima, OH, 45801

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4.5 starsH4036-022-000Medicare.gov
    $0a month
  • Anthem Veteran (Regional PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 750 W High St, Lima, OH, 45801
    • 730 W Market St, Lima, OH, 45801

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage3.5 starsR5941-013-000Medicare.gov
    $0a month

Devoted

10 plans list Pratap.

10plans
  • DEVOTED CHOICE 001 OH (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 750 W High St, Ste 250, Lima, OH, 45801

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH2526-001-000Medicare.gov
    $0a month
  • DEVOTED CHOICE 003 OH (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 750 W High St, Ste 250, Lima, OH, 45801

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH2526-003-000Medicare.gov
    $0a month
  • DEVOTED CHOICE MA ONLY 002 OH (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 750 W High St, Ste 250, Lima, OH, 45801

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4.5 starsH2526-002-000Medicare.gov
    $0a month
  • DEVOTED CORE 004 OH (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 750 W High St, Ste 250, Lima, OH, 45801

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH2697-004-000Medicare.gov
    $0a month

Aetna Medicare

5 plans list Pratap.

5plans
  • Aetna Medicare Eagle Giveback (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 750 W High St, Ste 250, Lima, OH, 45801

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4 starsH5521-487-000Medicare.gov
    $0a month
  • Aetna Medicare Signature (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 750 W High St, Ste 250, Lima, OH, 45801

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5521-088-000Medicare.gov
    $0a month
  • Aetna Medicare Signature Care (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 750 W High St, Ste 250, Lima, OH, 45801

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH0628-001-000Medicare.gov
    $0a month
  • Aetna Medicare Chronic Care (HMO C-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 750 W High St, Ste 250, Lima, OH, 45801

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with certain chronic conditionsDrug coverage3.5 starsH0628-039-000Medicare.gov
    $0a month

Wellcare

4 plans list Pratap.

4plans
  • Wellcare Buckeye Health Dual Access (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 750 W High St, Ste 250, Lima, OH, 45801
    • 730 W Market St, Lima, OH, 45801
    • 204 N Main St, Bluffton, OH, 45817

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverageH4158-002-000Medicare.gov
    $0a month
  • Wellcare Buckeye Health Dual Reserve (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 750 W High St, Ste 250, Lima, OH, 45801
    • 730 W Market St, Lima, OH, 45801
    • 204 N Main St, Bluffton, OH, 45817

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverageH4158-003-000Medicare.gov
    $0a month
  • Wellcare Buckeye MyCare Ohio Dual Align Unity (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 750 W High St, Ste 250, Lima, OH, 45801
    • 730 W Market St, Lima, OH, 45801
    • 204 N Main St, Bluffton, OH, 45817

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverageH4158-001-000Medicare.gov
    $0a month
  • Wellcare Buckeye MyCare Ohio Dual Align (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 750 W High St, Ste 250, Lima, OH, 45801
    • 730 W Market St, Lima, OH, 45801
    • 204 N Main St, Bluffton, OH, 45817

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverageH4158-004-000Medicare.gov
    $10.30a month

Molina Healthcare of Ohio

2 plans list Pratap.

2plans
  • Molina Complete Care Connect for MyCare Ohio (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 750 W High St, Ste 240, Lima, OH, 45801

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3 starsH9955-009-000Medicare.gov
    $21.10a month
  • Molina Complete Care for MyCare Ohio (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 750 W High St, Ste 240, Lima, OH, 45801

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3 starsH9955-008-000Medicare.gov
    $21.10a month

CareSource MyCare Ohio (HMO D-SNP)

1 plan lists Pratap.

1plan
  • CareSource MyCare Ohio (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1001 Bellefontaine Ave, Lima, OH, 45804
    • 750 W High St, Ste 250, Lima, OH, 45801
    • 730 W Market St, Lima, OH, 45801

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3.5 starsH6396-017-000Medicare.gov
    $21.10a month

Humana

Not listed on its 15 plans here. That isn't proof they're out of network.

SummaCare Medicare Advantage Plans

Not listed on its 3 plans here. That isn't proof they're out of network.

The Health Plan

Not listed on its 3 plans here. That isn't proof they're out of network.

Premiums are each plan's own monthly premium, as filed with Medicare. You keep paying your Medicare Part B premium.

Can't find your plan?Tell us the plan you have, and a licensed Silverpath advisor will check whether Pratap takes it. Free.

Original Medicare status

Most Medicare Supplement (Medigap) policies have no provider network: they help pay Original Medicare's cost sharing where Medicare is accepted. Medicare SELECT policies can require network providers for full benefits. Ask the office whether they accept Medicare.

Medicare enrollment and assignment have not been verified here. Advantage directory results do not answer this question.

No opt-out record in this CMS file. CMS's file covers data through 2026-08-31. This does not establish Medicare enrollment, assignment, or whether the office accepts new Medicare patients.

CMS opt-out source · Data through 2026-08-31 · Reviewed Oct 25, 2026

Compare Supplement plans

Practice location

750 W High St, Ste 250
Lima, OH 45801

NPI Registry
NPI issued
2005
Registry record updated
Oct 31, 2014

Medicare's clinician details aren't available on this page yet.

Common questions

Which 2027 Medicare Advantage plans list Pratap Balusu?

In Allen County, OH, 43 Medicare Advantage plans for 2027 list Pratap in provider data from Medicare.gov or the carrier, including AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS), AARP Medicare Advantage Extras from UHC OH-9 (HMO-POS) and AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Networks can change during the year, so confirm with the office or the plan before you enroll.

Does Pratap Balusu take UnitedHealthcare Medicare Advantage plans?

Medicare.gov provider data lists Pratap on 11 Medicare Advantage plans for 2027 in Allen County, OH, including AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS) and AARP Medicare Advantage Extras from UHC OH-9 (HMO-POS). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or UnitedHealthcare before you enroll.

Does Pratap Balusu take Anthem Blue Cross and Blue Shield Medicare Advantage plans?

Medicare.gov provider data lists Pratap on 10 Medicare Advantage plans for 2027 in Allen County, OH, including Anthem Extra Help (HMO-POS) and Anthem Medicare Advantage (HMO-POS). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Anthem Blue Cross and Blue Shield before you enroll.

Does Pratap Balusu take Devoted Medicare Advantage plans?

Medicare.gov provider data lists Pratap on 10 Medicare Advantage plans for 2027 in Allen County, OH, including DEVOTED CHOICE 001 OH (PPO) and DEVOTED CHOICE 003 OH (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Devoted before you enroll.

Where does Pratap Balusu practice?

750 W High St, Ste 250, Lima, OH 45801.

How do I confirm Pratap is in my plan's network?

Call the member services number on your plan card and give them the NPI 1083607519, or ask a Silverpath advisor to check for you. It's free.

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A Silverpath advisor can confirm Pratap's networks with the carrier and help you compare plans that include them.

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For providers

Is this your practice?

What patients see here today:

  • Provider searches did not return a listing for Pratap Balusu on 21 plans from Humana, SummaCare Medicare Advantage Plans and The Health Plan in Allen County, OH. Other offices are not confirmed; this isn't proof the practice is out of network.

Tell us which plans you take, or want to take, and we'll keep this page accurate and talk with you about reaching more Medicare patients and carriers.

Sources. Name, specialty and locations: the CMS NPI Registry (record updated 2014-10-31). Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 24, 2026. CMS matches apply to the covered offices shown with each plan. Plans: CMS 2027 Medicare Advantage landscape.

Networks change during the year, and a directory can be out of date. Confirm with the provider's office and the plan before you enroll or schedule care.

Silverpath is a licensed insurance agency. This page isn't affiliated with or endorsed by Pratap Balusu or their practice. Not connected with or endorsed by the U.S. government or the federal Medicare program.

We do not offer every plan available in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

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