BALA SUDHAKAR REDDY ALLAM M.D.
NPI 1104024231
Hospitalist in Springfield, MO

Q: What is Bala Sudhakar Reddy Allam's NPI number?

The NPI number for Bala Sudhakar Reddy Allam is 1104024231. It was assigned to this individual provider in the NPPES registry on July 10, 2007.

Q: What is Bala Sudhakar Reddy Allam's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Active since July 10, 2007PECOS EnrolledAccepts Medicare Assignment

1235 E CHEROKEE ST, SPRINGFIELD, MO 65804(417) 820-2600(417) 820-2100 Get Directions Write a Review

NPPES record last updated: May 8, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Bala Sudhakar Reddy Allam M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BALA SUDHAKAR REDDY ALLAM M.D. (NPI 1104024231) is an individual hospitalist provider in Springfield, Missouri, licensed in Missouri (2010018938) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Springfield, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1104024231

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameBALA SUDHAKAR REDDY ALLAMCredential: M.D.

Location Address1235 E CHEROKEE STSpringfield, MO 65804-2203

Mailing AddressPo Box 2580Springfield, MO 65801-2580 · (417) 829-4620

Phone(417) 820-2600

Fax(417) 820-2100

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateJuly 10, 2007

Last NPPES UpdateMay 8, 2017

✔ NPI 1104024231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in MO · 2010018938

Definition

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.

Also ListedInternal MedicineTaxonomy 207R00000X · License 2010018938 (MO)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MT189901 (PA)

1235 E CHEROKEE ST, Springfield, MO 65804

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Other Identifiers 5

Medicaid183039001AR

Medicaid1104024231MO

Medicare PIN132680153MO

OtherP00852017Railroad Medicare Group Cb9013

Other431560263Tricare West

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bala Sudhakar Reddy Allam M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638203334

PECOS Enrollment IDI20100817000936

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

546 services176 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

173 services168 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

47 services47 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

39 services14 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

24 services24 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital Springfield

Acute Care Hospitals · Springfield, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260065

Location1235 E CherokeeSpringfield, MO 65804 · Greene County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$121.96 typical visit price

range $52.28 – $161.24

Typical copayment $30.49 (range $13.07 – $40.31)

Most-billed visit code 99204

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier29 claims29 services$18.09 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier30 claims30 services$93.21 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. SUJAN POUDEL M.D.

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