PALGUNA THALLA MD
NPI 1417699083
Emergency Medicine in Davenport, IA

Q: What is Palguna Thalla's NPI number?

The NPI number for Palguna Thalla is 1417699083. It was assigned to this individual provider in the NPPES registry on April 12, 2022.

Q: What is Palguna Thalla's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Palguna Thalla was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since April 12, 2022PECOS EnrolledAccepts Medicare Assignment

1227 E RUSHOLME ST, DAVENPORT, IA 52803(510) 250-0843 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 24, 2024, Jul 12, 2022, Apr 12, 2022 (3 updates tracked since 2022).

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About Palguna Thalla Md NPPES

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

PALGUNA THALLA MD (NPI 1417699083) is an individual emergency medicine provider in Davenport, Iowa, licensed in Iowa (MD-55165) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Genesis Medical Center-davenport, and is a graduate of University Of Toledo College Of Medicine (2022).

NPPES Registry Identity

NPI1417699083

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NamePALGUNA THALLACredential: MD

Location Address1227 E RUSHOLME STDavenport, IA 52803-2459

Mailing Address1601 Cummins Dr Ste DModesto, CA 95358-6411

Phone(510) 250-0843

Sole ProprietorNo

Medical School CMSUniversity Of Toledo College Of MedicineGraduated 2022

Enumeration DateApril 12, 2022

Last NPPES UpdateJune 19, 20263 updates tracked since enumeration

NPPES CertifiedJune 19, 2026

✔ NPI 1417699083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in IA · MD-55165✔ Licensed in MI · 4301518010

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 35.151612 (OH)

1227 E RUSHOLME ST, Davenport, IA 52803

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Accepted Insurance

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

Palguna Thalla Md 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 ID4284155516

PECOS Enrollment IDI20250909001103

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.

Hospital Affiliations CMS Care Compare

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

Genesis Medical Center-Davenport

Acute Care Hospitals · Davenport, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160033

Location1227 East Rusholme StreetDavenport, IA 52803 · Scott County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52803 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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 20

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

JOHANNA LAIDIG D.O.

Anesthesiology