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ROBERT L BACALLAO M.D.
NPI 1295792760
Internal Medicine - Nephrology in Indianapolis, IN

Active since April 28, 2006PECOS Enrolled
1481 W 10TH ST # C3004, INDIANAPOLIS, IN 46202(317) 988-2633(317) 968-0139 Get Directions Write a Review

NPPES record last updated: November 20, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Robert L Bacallao M.d. NPPES

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

ROBERT L BACALLAO M.D. (NPI 1295792760) is an individual nephrology provider in Indianapolis, Indiana, licensed in Indiana (01044965) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295792760
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameROBERT L BACALLAOCredential: M.D.
Location Address1481 W 10TH ST # C3004Indianapolis, IN 46202-2803
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Phone(317) 988-2633
Fax(317) 968-0139
Sole ProprietorNo
Enumeration DateApril 28, 2006
Last NPPES UpdateNovember 20, 2020
NPPES CertifiedNovember 20, 2020
✔ NPI 1295792760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in IN · 01044965
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1481 W 10TH ST # C3004, Indianapolis, IN 46202
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Other Identifiers 1

Medicaid200048040IN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert L Bacallao M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Other Providers at the Same Location NPPES

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

RAJIV AGARWAL M.D.
Internal Medicine (Nephrology)
1481 W 10TH ST # C3004
INDIANAPOLIS, IN 46202
Marion County (317) 988-2633

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Bacallao's NPI number?

The NPI number for Robert Bacallao is 1295792760. It was assigned to this individual provider in the NPPES registry on April 28, 2006.

Where is Robert Bacallao located?

Robert Bacallao practices at 1481 W 10th St # C3004, Indianapolis, IN 46202. The listed phone number is (317) 988-2633.

What is Robert Bacallao's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Robert Bacallao enrolled in Medicare?

Yes. Robert Bacallao is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Robert Bacallao was last updated on November 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.