BALA SUDHAKAR REDDY ALLAM M.D. NPI 1104024231

NPI Information

NPI: 1104024231
Provider Name: BALA SUDHAKAR REDDY ALLAM, M.D.
Classification: Hospitalist - 208M00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1235 E CHEROKEE ST
SPRINGFIELD, MO
ZIP 65804
Phone: (417) 820-2600
Get Directions

Bala Sudhakar Reddy Allam, M.D. is a hospitalist in Springfield, MO with 22 years of experience. The provider is hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. Bala Sudhakar Reddy Allam, M.D. NPI is 1104024231. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1235 E CHEROKEE ST
SPRINGFIELD, MO
ZIP 65804-203
Phone: (417) 820-2600
Fax: (417) 820-2100

The NPI 1104024231 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/10/2007 and was last updated on 5/8/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	207R00000X	Internal Medicine	2010018938	MISSOURI	No
2	208M00000X	Hospitalist	2010018938	MISSOURI	Yes
3	390200000X	Student in an Organized Health Care Education/Training Program	MT189901	PENNSYLVANIA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	183039001	MEDICAID	ARKANSAS
2	1104024231	MEDICAID	MISSOURI
3	132680153	MEDICARE PIN	MISSOURI
4	P00852017	OTHER		RAILROAD MEDICARE GROUP CB9013
5	431560263	OTHER		TRICARE WEST

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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