Dr. Jay S. Balachandran
- Gender: Male
- Experience: 18 years
- Graduated from: University Of Wisconsin School Of Medicine
- Graduation year: 2003
- Sole propriator: No
- NPI: 1396786273
Dr. Jay S. Balachandran MD
Pulmonologist
He is located at 13133 North Port Washington Road Suite 104 in Mequon, WI 53097. Can help patients with the following: Abdominal Pain, Collapsed Lung, Cystic Fibrosis (CF), General Care, Osteoporosis, Pulmonary Fibrosis (PF). His National Provider Identifier (NPI) number is 1396786273. Appointment can be made via the phone number (262) 243-5044. He is affiliated with 5 practices and 2 hospitals.
Conditions treated
Dr. Jay Shankar Balachandran, being an pulmonologist, treats the following conditions. Please be advised that this list may not be complete. For the full list of conditions treated, consult directly with Dr. Jay S. Balachandran.
- Abdominal Pain
- Acute Pain
- Alpha-1 Antitrypsin Deficiency (AATD)
- Anemia
- Arthritis
- Asbestosis
- Asthma
- Atherosclerosis
- Bladder Control
- Blood Clots
- Bronchiectasis
- Bronchitis
- Chest Pain
- Cholecystitis
- Chronic Cough
- Chronic Obstructive Pulmonary Disease (COPD)
- Collapsed Lung
- Common Cold
- Constipation
- Cryptococcosis
- Cystic Fibrosis (CF)
- Cystitis
- Diarrhea
- Edema
- Embolism
- Emphysema
- Fever
- Gastroesophageal Reflux Disease (GERD)
- General Care
- Headache
- Heart Disease
- Hiatal Hernia
- High Blood Pressure
- Hot Flashes
- Hyperlipidemia
- Hyponatremia
- Influenza
- Inguinal Hernia
- Lung Cancer
- Migraine
- Nausea and Vomiting
- Obesity
- Osteoporosis
- Peptic Ulcer
- Pleural Effusion
- Pleurisy
- Pneumonia
- Prescription Refill
- Pulmonary Aspiration
- Pulmonary Embolism (PE)
- Pulmonary Fibrosis (PF)
- Pulmonary Hypertension (PH)
- Sarcoidosis
- Sleep Apnea
- Sleep Disorders
- Smoking and Quitting Smoking
- Tuberculosis (TB)
- Urethritis
- Urinary Tract Infection (UTI)
Procedures Performed by Dr. Jay S. Balachandran
ACA Marketplace (Obamacare/HealthCare.gov) plan networks
Insurers selling ACA Marketplace (HealthCare.gov) plans list Dr. Jay S. Balachandran as in-network for the following 2026 plans.
Health plans
Anthem Blue Cross and Blue Shield
Network data as of Mar 25, 2026, as reported by the insurer.
Show all 18 plans from Anthem Blue Cross and Blue Shield
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) (5 plan variants) | HMO · Expanded Bronze | Participating | Accepting new patients |
| Anthem Bronze Pathway/Lean HSA (+ Incentives) (5 plan variants) | HMO · Expanded Bronze | Participating | Accepting new patients |
| Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) (5 plan variants) | HMO · Expanded Bronze | Participating | Accepting new patients |
| Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) | POS · Expanded Bronze | Participating | Accepting new patients |
| Anthem Bronze Preferred/Broad HSA (+ Incentives) | POS · Expanded Bronze | Participating | Accepting new patients |
| Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Expanded Bronze | Participating | Accepting new patients |
| Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) (5 plan variants) | HMO · Gold | Participating | Accepting new patients |
| Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) (5 plan variants) | HMO · Gold | Participating | Accepting new patients |
| Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Gold | Participating | Accepting new patients |
| Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Gold | Participating | Accepting new patients |
| Anthem Heart Healthy Bronze Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) (5 plan variants) | HMO · Expanded Bronze | Participating | Accepting new patients |
| Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) | POS · Expanded Bronze | Participating | Accepting new patients |
| Anthem Silver Pathway/Lean 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) (5 plan variants) | HMO · Silver | Participating | Accepting new patients |
| Anthem Silver Pathway/Lean 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) (5 plan variants) | HMO · Silver | Participating | Accepting new patients |
| Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) (5 plan variants) | HMO · Silver | Participating | Accepting new patients |
| Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) | POS · Silver | Participating | Accepting new patients |
| Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Silver | Participating | Accepting new patients |
| Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Silver | Participating | Accepting new patients |
Network Health
Network data as of Jun 9, 2026, as reported by the insurer.
Show all 14 plans from Network Health
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Prestige Bronze $0 Medical Deductible (2 plan variants) | HMO · Expanded Bronze | Signatureprestigebronzezeromedicaldeductible | Accepting new patients |
| Prestige Bronze $0 Medical Deductible + Dental + Vision | HMO · Expanded Bronze | Signatureprestigebronzezeromedicaldeductibledv | Accepting new patients |
| Prestige Bronze $0 Medical Deductible + Dental +Vision | HMO · Expanded Bronze | Signatureprestigebronzezeromedicaldeductibledv | Accepting new patients |
| Prestige Bronze Essential + 3 Free PCP Visits | HMO · Expanded Bronze | Prestigebronzeessential | Accepting new patients |
| Prestige Bronze Essential + Dental + Vision + 3 Free PCP Visits | HMO · Expanded Bronze | Prestigebronzeessentialdv | Accepting new patients |
| Prestige Bronze Plus | HMO · Expanded Bronze | Prestigebronzeplus | Accepting new patients |
| Prestige Gold | HMO · Gold | Prestigegold | Accepting new patients |
| Prestige Gold 50 + 1 Free PCP Visit | HMO · Gold | Prestigegoldfifty | Accepting new patients |
| Prestige Gold 50 + Dental + Vision+ 1 Free PCP Visit | HMO · Gold | Prestigegoldfiftydv | Accepting new patients |
| Prestige Gold Essential + 3Free PCP Visits | HMO · Gold | Prestigegoldessential | Accepting new patients |
| Prestige Gold Essential + Dental + Vision + 3 Free PCP Visits | HMO · Gold | Prestigegoldessentialdv | Accepting new patients |
| Prestige Silver | HMO · Silver | Prestigesilver | Accepting new patients |
| Prestige Silver Essential + 3 Free PCP Visits | HMO · Silver | Prestigesilveressential | Accepting new patients |
| Prestige Silver Essential + Dental + Vision + 3 Free PCP Visits | HMO · Silver | Prestigesilveressentialdv | Accepting new patients |
This covers ACA Marketplace plans only, as reported by each insurer. It does not include employer, Medicare Advantage, or state-run exchange plans, and a plan missing from this list does not mean Dr. Jay S. Balachandran is out of network. Insurer directories can be out of date, so always confirm with the insurer and the office before your visit.
Medicare Enrollment
Dr. Jay S. Balachandran is enrolled to bill Medicare as a Practitioner - Pulmonary Disease (also registered under: Practitioner - Sleep Medicine, Practitioner - Critical Care (intensivists)) .
Bills through: Madison Medical Affiliates Inc
Based on Medicare's public enrollment records as of Jul 17, 2026. This reflects Medicare fee-for-service enrollment only and says nothing about other insurance, quality, outcomes, or board certification.
Payments received
Drug payment
| AstraZeneca | $2544 |
| GlaxoSmithKline | $266 |
| Genentech | $166 |
Other
| Promotional Speaking or Service | $2625 |
| Food and Beverage | $604 |
| Consulting | $230 |
| Travel and Lodging | $45 |
Studies
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated in 2003Additional Specialities
- Internist
Affiliated practices
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Questions & Answers
What conditions does Dr. Jay Shankar Balachandran treat?
Dr. Jay Shankar Balachandran provides treatment for Abdominal Pain, Collapsed Lung, Cystic Fibrosis (CF), General Care, Osteoporosis, Pulmonary Fibrosis (PF). For the full list see this list.
Does Dr. Jay Shankar Balachandran have affiliation with practices?
Dr. Jay Shankar Balachandran is affiliated with Madison Medical Affiliates. For the full list of practices see this list.
Where can you meet with Dr. Jay Shankar Balachandran?
Dr. Jay Shankar Balachandran's office is located at 13133 North Port Washington Road Suite 104 in Mequon, WI 53097.
Has Dr. Jay Shankar Balachandran affiliation with hospitals?
Dr. Jay Shankar Balachandran is affiliated with COLUMBIA ST MARYS HOSPITAL OZAUKEE. For the full list of hospitals see this list.
Does Dr. Jay Shankar Balachandran accept patients with Anthem Blue Cross and Blue Shield?
Yes, Dr. Jay Shankar Balachandran is listed in-network for Anthem Blue Cross and Blue Shield through the ACA Marketplace (Obamacare/HealthCare.gov). See the Marketplace plans section for details.