DR. MOHAN BABU PALLA M.D.
NPI 1477998896
Internal Medicine - Interventional Cardiology in Fenton, MO

Q: What is Mohan Palla's NPI number?

The NPI number for Mohan Palla is 1477998896. It was assigned to this individual provider in the NPPES registry on April 30, 2013.

Q: What is Mohan Palla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Mohan Palla was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 30, 2013PECOS EnrolledAccepts Medicare Assignment

1011 BOWLES AVE STE 300, FENTON, MO 63026(636) 496-5065 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 11, 2025, Apr 11, 2025, Jul 3, 2024 and 4 more (7 updates tracked since 2015).

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About Dr. Mohan Babu Palla M.d. NPPES

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

DR. MOHAN BABU PALLA M.D. (NPI 1477998896) is an individual interventional cardiology provider in Fenton, Missouri, licensed in Missouri (2025017659) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1477998896

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameDR. MOHAN BABU PALLACredential: M.D.

Location Address1011 BOWLES AVE STE 300Fenton, MO 63026-2387

Mailing Address2040 Rochester RdTroy, MI 48083-1837 · (310) 426-4415

Phone(636) 496-5065

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateApril 30, 2013

Last NPPES UpdateJune 11, 20257 updates tracked since enumeration

NPPES CertifiedJune 11, 2025

✔ NPI 1477998896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

Licenses✔ Licensed in MO · 2025017659✔ Licensed in ND · 21166✔ Licensed in MD · PENDING✔ Licensed in IL · 036160962✔ Licensed in MD · D9074

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal MedicineTaxonomy 207R00000X · License D90794 (MD), 036160962 (IL)

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License D90794 (MD), 036160962 (IL)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1011 BOWLES AVE STE 300, Fenton, MO 63026

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Secondary Practice Locations 4

Location 112502 Willowbrook RdCumberland, MD 21502-6491 · Phone (240) 964-8724

Location 212500 Willowbrook RdCumberland, MD 21502-6393 · Phone (240) 964-7000

Location 3619 E Mason St Ste 4P57Springfield, IL 62701-1034 · Phone (217) 788-0706 · Fax (217) 525-2535

Location 44201 Saint Antoine St, UHC-2EDetroit, MI 48201-2153 · Phone (313) 745-4525 · Fax (313) 745-4052

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Moda Health Plan, Inc., Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mohan Babu Palla 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 ID648571430

PECOS Enrollment IDI20251121004430

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.

Medicare Billing Reassignments

Medicare enrollment records show Mohan Palla reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prairie Cardiovascular Consultants Ltd

94 mi

Multi-Specialty

3051 HOLLIS DR FL 2
Springfield, IL 62704

Reassigned Medicare billing, Illinois enrollment
101 clinicians in this Medicare group

NPI 1982714218 (217) 492-9695

Froedtert & the Medical College Of Wisconsin Community Physicians, Inc.

343 mi

Internal Medicine

W180N8000 TOWN HALL RD
Menomonee Falls, WI 53051

Reassigned Medicare billing, Wisconsin enrollment
2,294 clinicians in this Medicare group

NPI 1568787448 (262) 255-2500

Mat-Su Valley III LLC

2,918 mi

Urgent Care

209 W EVERGREEN AVE STE B
Palmer, AK 99645

Reassigned Medicare billing, Alaska enrollment
45 clinicians in this Medicare group

NPI 1861935975 (907) 861-1400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 18

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

326 services266 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

244 services144 patients

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.

208 services88 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

197 services197 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.

85 services84 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

77 services71 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

64 services64 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

58 services58 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

57 services57 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

52 services52 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.

24 services21 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

22 services21 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

22 services19 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

16 services16 patients

Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928

This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.

15 services13 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.

14 services13 patients

Heart muscle strain imaging 93356

Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.

11 services11 patients

Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel 93571

This procedure involves using ultrasound technology to examine the first blood vessel of your heart. It helps identify any abnormalities or issues, providing crucial information for diagnosis or treatment. It's a safe, non-invasive process.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63026 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

$128.28 typical visit price

range $55.65 – $169.38

Typical copayment $32.07 (range $13.91 – $42.34)

Most-billed visit code 99204

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

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 12

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

DR. JEFFREY P WILSON MD

Internal Medicine (Interventional Cardiology)