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MAMTHA BALLA MD.,MPH
NPI 1346503034
Internal Medicine in Boston, MA

Active since June 19, 2012PECOS Enrolled
75 FRANCIS ST, BOSTON, MA 02115(617) 732-5500 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 21, 2024, Nov 3, 2023 (2 updates tracked since 2023).

About Mamtha Balla Md.,mph NPPES

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

MAMTHA BALLA MD.,MPH (NPI 1346503034) is an individual internal medicine provider in Boston, Massachusetts, licensed in Massachusetts (1018990) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Toledo.

NPPES Registry Identity

NPI1346503034
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMAMTHA BALLACredential: MD.,MPH
Location Address75 FRANCIS STBoston, MA 02115-6110
Mailing Address75 Francis StBoston, MA 02115-6110 · (617) 732-5500
Phone(617) 732-5500
Sole ProprietorNo
Enumeration DateJune 19, 2012
Last NPPES UpdateAugust 21, 20242 updates tracked since enumeration
NPPES CertifiedAugust 21, 2024
✔ NPI 1346503034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 1018990
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
75 FRANCIS ST, Boston, MA 02115
Open in Google Maps ↗

Secondary Practice Location 1

Location 12142 N Cove BlvdToledo, OH 43606-3895 · Phone (419) 291-4000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mamtha Balla Md.,mph 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.

Areas of Expertise CMS Part B claims 3

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.
227 services74 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.
47 services46 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02115 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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

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

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
2 suppliers22 claims22 services$59.96 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

RUMA RAJBHANDARI
Internal Medicine (Gastroenterology)
75 FRANCIS ST
BOSTON, MA 02115
Suffolk County (617) 525-6841
WENYA LINDA BI
Neurological Surgery
75 FRANCIS ST
BOSTON, MA 02115
Suffolk County (203) 645-9485
CHI YUEN CHAN M.D.
Student in an Organized Health Care Education/Training Program
75 FRANCIS ST
BOSTON, MA 02115
Suffolk County (617) 732-5500
JENNIFER MICHELLE THOMAS MD
Radiology (Diagnostic Radiology)
75 FRANCIS ST, DEPARTMENT OF RADIOLOGY
BOSTON, MA 02115
Suffolk County (617) 732-6248
GAURAV SHARMA M.D.
Surgery (Vascular Surgery)
75 FRANCIS ST, BRIGHAM AND WOMEN'S HOSPITAL
BOSTON, MA 02115
Suffolk County (951) 259-0890
DR. EUGENE RICHARDSON MD
Internal Medicine (Infectious Disease)
75 FRANCIS ST
BOSTON, MA 02115
Suffolk County (617) 732-8881
YEU-SHIN CINDY CHANG M.D., M.P.H.
Emergency Medicine
75 FRANCIS ST, BWH DEPT. OF EMERGENCY MEDICINE
BOSTON, MA 02115
Suffolk County (617) 732-8070
CARA L RICHARDS
Physician Assistant
75 FRANCIS ST
BOSTON, MA 02115
Suffolk County (617) 732-5500

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 Mamtha Balla's NPI number?

The NPI number for Mamtha Balla is 1346503034. It was assigned to this individual provider in the NPPES registry on June 19, 2012.

Where is Mamtha Balla located?

Mamtha Balla practices at 75 Francis St, Boston, MA 02115. The listed phone number is (617) 732-5500.

What is Mamtha Balla's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mamtha Balla enrolled in Medicare?

Yes. Mamtha Balla is registered in the Medicare PECOS enrollment system.

What insurance does Mamtha Balla accept?

Health plans from CareSource and Priority Health list Mamtha Balla as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mamtha Balla was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.