Provider profile

Jay BalachandranMD

Internal Medicine, Pulmonary Disease

NPI 1396786273
13133 N Port Washington Rd, Suite 104, Mequon, WI 53097262-243-5044

Check your plan

Medicare Advantage plans for Ozaukee County, WI.

Checked Oct 25, 2026

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

Directory results See what each insurance company reports

Listed on 44 Medicare Advantage plans for 2027

Carrier directories and Medicare.gov provider data list Jay on these plans. Review each plan's covered offices before enrolling. One directory didn't answer this time; we'll try it again.

The 51 Medicare Advantage plans we show for Ozaukee County, WI in 2027

  • 44 list Jay
  • 5 not listed
  • 2 not checked yet

Humana

16 plans list Jay.

16plans
  • Humana Essentials Plus Giveback (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 13133 N Port Washington Rd, Ste 104, Mequon, WI, 53097
    • 788 N Jefferson St, Ste 201, Milwaukee, WI, 53202

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

    PPODrug coverage4.5 starsH7617-011-000Medicare.gov
    $0a month
  • Humana Full Access (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 13133 N Port Washington Rd, Ste 104, Mequon, WI, 53097
    • 788 N Jefferson St, Ste 201, Milwaukee, WI, 53202

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

    PPODrug coverage4 starsH5216-410-000Medicare.gov
    $0a month
  • Humana Full Access (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 13133 N Port Washington Rd, Ste 104, Mequon, WI, 53097
    • 788 N Jefferson St, Ste 201, Milwaukee, WI, 53202

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

    PPODrug coverage4.5 starsH7617-020-000Medicare.gov
    $0a month
  • Humana Total Complete (HMO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 13133 N Port Washington Rd, Ste 104, Mequon, WI, 53097
    • 788 N Jefferson St, Ste 201, Milwaukee, WI, 53202

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

    HMODrug coverage4 starsH6622-001-000Medicare.gov
    $0a month

UnitedHealthcare

11 plans list Jay.

11plans
  • AARP Medicare Advantage Essentials from UHC WI-13 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 13133 N Point Washington Rd, Ste 104, Mequon, WI, 53097
    • 13133 N Port Washington Rd, Ste 104, Mequon, WI, 53097
    • 788 N Jefferson St, Ste 201, Milwaukee, WI, 53202

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

    HMO-POSDrug coverage4 starsH5253-033-000Medicare.gov
    $0a month
  • AARP Medicare Advantage Extras from UHC WI-19 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 13133 N Point Washington Rd, Ste 104, Mequon, WI, 53097
    • 13133 N Port Washington Rd, Ste 104, Mequon, WI, 53097
    • 788 N Jefferson St, Ste 201, Milwaukee, WI, 53202

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

    HMO-POSDrug coverage4 starsH5253-199-000Medicare.gov
    $0a month
  • AARP Medicare Advantage Patriot No Rx WI-MA02 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 13133 N Point Washington Rd, Ste 104, Mequon, WI, 53097
    • 13133 N Port Washington Rd, Ste 104, Mequon, WI, 53097
    • 788 N Jefferson St, Ste 201, Milwaukee, WI, 53202

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

    HMO-POSNo drug coverage4 starsH5253-021-000Medicare.gov
    $0a month
  • AARP Medicare Advantage from UHC WI-0010 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 13133 N Point Washington Rd, Ste 104, Mequon, WI, 53097
    • 13133 N Port Washington Rd, Ste 104, Mequon, WI, 53097
    • 788 N Jefferson St, Ste 201, Milwaukee, WI, 53202

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

    HMO-POSDrug coverage4 starsH5253-004-000Medicare.gov
    $57a month

1 more UnitedHealthcare plan hasn't been checked yet.

Aetna Medicare

6 plans list Jay.

6plans
  • Aetna Medicare Eagle (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 13133 N Port Washington Rd, Ste 104, Mequon, WI, 53097

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

    PPONo drug coverage4 starsH5521-286-000Medicare.gov
    $0a month
  • Aetna Medicare Signature (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 13133 N Port Washington Rd, Ste 104, Mequon, WI, 53097

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

    HMO-POSDrug coverage3.5 starsH1206-002-000Medicare.gov
    $0a month
  • Aetna Medicare Signature (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 13133 N Port Washington Rd, Ste 104, Mequon, WI, 53097

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

    PPODrug coverage4 starsH5521-195-000Medicare.gov
    $0a month
  • Aetna Medicare Signature Extra (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 13133 N Port Washington Rd, Ste 104, Mequon, WI, 53097

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

    PPODrug coverage4 starsH5521-403-000Medicare.gov
    $0a month

Anthem Blue Cross and Blue Shield

5 plans list Jay.

5plans
  • Anthem Veteran (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 13133 N Port Washington Rd, Mequon, WI, 53097
    • 788 N Jefferson St, Milwaukee, WI, 53202

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

    PPONo drug coverage4.5 starsH4036-024-000Medicare.gov
    $0a month
  • Anthem Medicare Advantage (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 13133 N Port Washington Rd, Mequon, WI, 53097
    • 788 N Jefferson St, Milwaukee, WI, 53202

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

    HMO-POSDrug coverage3.5 starsH9525-006-000Medicare.gov
    $38a month
  • Anthem Medicare Advantage 3 (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 13133 N Port Washington Rd, Mequon, WI, 53097
    • 788 N Jefferson St, Milwaukee, WI, 53202

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

    PPODrug coverage4.5 starsH4036-008-000Medicare.gov
    $84a month
  • Anthem Dual Advantage Plus (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 13133 N Port Washington Rd, Mequon, WI, 53097
    • 788 N Jefferson St, Milwaukee, WI, 53202

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

    HMOFor people with Medicare and MedicaidDrug coverage3.5 starsH9525-028-000Medicare.gov
    $0a month

Wellcare

3 plans list Jay.

3plans
  • Wellcare Simple (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 13133 N Port Washington Rd, Ste 104, Mequon, WI, 53097
    • 788 N Jefferson St, Ste 201, Milwaukee, WI, 53202

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

    HMO-POSDrug coverage3 starsH8189-008-000Medicare.gov
    $0a month
  • Wellcare MHS Health Wisconsin Dual Liberty Sync (HMO-POS D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 13133 N Port Washington Rd, Ste 104, Mequon, WI, 53097
    • 788 N Jefferson St, Ste 201, Milwaukee, WI, 53202

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

    HMO-POSFor people with Medicare and MedicaidDrug coverage3 starsH8189-001-000Medicare.gov
    $0a month
  • Wellcare MHS Health Wisconsin Dual Select (HMO-POS D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 13133 N Port Washington Rd, Ste 104, Mequon, WI, 53097
    • 788 N Jefferson St, Ste 201, Milwaukee, WI, 53202

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

    HMO-POSFor people with Medicare and MedicaidDrug coverage3 starsH8189-007-000Medicare.gov
    $0a month

Molina Healthcare of Wisconsin

2 plans list Jay.

2plans
  • Molina My Choice Dual Advantage (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 13133 N Port Washington Rd, Ste 104, Mequon, WI, 53097
    • 13111 N Port Washington Rd, Mequon, WI, 53097
    • 2323 N Lake Dr, Milwaukee, WI, 53211
    • 788 N Jefferson St, Milwaukee, WI, 53202
    • 3201 S 16th St, Ste 2015, Milwaukee, WI, 53215

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

    HMOFor people with Medicare and MedicaidDrug coverage3.5 starsH5209-006-001Medicare.gov
    $0a month
  • Molina My Choice Partnership (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 13133 N Port Washington Rd, Ste 104, Mequon, WI, 53097
    • 13111 N Port Washington Rd, Mequon, WI, 53097
    • 2323 N Lake Dr, Milwaukee, WI, 53211
    • 788 N Jefferson St, Ste 201, Milwaukee, WI, 53202
    • 788 N Jefferson St, Milwaukee, WI, 53202
    • 3201 S 16th St, Ste 2015, Milwaukee, WI, 53215

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

    HMOFor people with Medicare and MedicaidDrug coverage3.5 starsH5209-005-001Medicare.gov
    $0a month

Community Care

1 plan lists Jay.

1plan
  • Community Care's Partnership Program (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 13133 N Port Washington Rd, Mequon, WI, 53097

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

    HMOFor people with Medicare and MedicaidDrug coverageH2034-001-000Medicare.gov
    $6.30a month

iCare

Not listed on its 1 plan here. That isn't proof they're out of network.

Network Health Medicare Advantage Plans

Medicare.gov doesn't have provider data for these plans yet. We'll check again.

1 more Network Health Medicare Advantage Plans plan hasn't been checked yet.

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 Jay 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

13133 N Port Washington Rd, Suite 104
Mequon, WI 53097

NPI Registry
NPI issued
2006
Registry record updated
Nov 7, 2016

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

Common questions

Which 2027 Medicare Advantage plans list Jay Balachandran?

In Ozaukee County, WI, 44 Medicare Advantage plans for 2027 list Jay in provider data from Medicare.gov or the carrier, including Humana Essentials Plus Giveback (PPO) and Humana Full Access (PPO). 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 Jay Balachandran take Humana Medicare Advantage plans?

Humana's own provider directory lists Jay on 16 Medicare Advantage plans for 2027 in Ozaukee County, WI, including Humana Essentials Plus Giveback (PPO) and Humana Full Access (PPO). Confirm with the office or Humana before you enroll.

Does Jay Balachandran take UnitedHealthcare Medicare Advantage plans?

Medicare.gov provider data lists Jay on 11 Medicare Advantage plans for 2027 in Ozaukee County, WI, including AARP Medicare Advantage Essentials from UHC WI-13 (HMO-POS) and AARP Medicare Advantage Extras from UHC WI-19 (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 Jay Balachandran take Aetna Medicare Medicare Advantage plans?

Medicare.gov provider data lists Jay on 6 Medicare Advantage plans for 2027 in Ozaukee County, WI, including Aetna Medicare Eagle (PPO) and Aetna Medicare Signature (HMO-POS). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Aetna Medicare before you enroll.

Where does Jay Balachandran practice?

13133 N Port Washington Rd, Suite 104, Mequon, WI 53097.

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

Call the member services number on your plan card and give them the NPI 1396786273, or ask a Silverpath advisor to check for you. It's free.

Free · No obligation

Talk to a licensed advisor

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

Free. No obligation. We never sell your information.

For providers

Is this your practice?

What patients see here today:

  • Provider searches did not return a listing for Jay Balachandran on 1 plans from iCare in Ozaukee County, WI. 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 2016-11-07). Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 25, 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 Jay Balachandran 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.

Are you Jay Balachandran? Talk to us about this page, or request a correction or removal.

Does Jay take my plan?