Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ABDALLA KARA BALLA MD
NPI 1518458470
Hospitalist in Milwaukee, WI

Q: What is Abdalla Kara Balla's NPI number?

The NPI number for Abdalla Kara Balla is 1518458470. It was assigned to this individual provider in the NPPES registry on May 25, 2018.

Q: What is Abdalla Kara Balla's specialty?

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

Active since May 25, 2018PECOS EnrolledAccepts Medicare Assignment

2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215(414) 649-6000 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 4, 2025, Jun 17, 2024, Dec 2, 2021 and 2 more (5 updates tracked since 2018).

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About Abdalla Kara Balla Md NPPES

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

ABDALLA KARA BALLA MD (NPI 1518458470) is an individual hospitalist provider in Milwaukee, Wisconsin, licensed in Wisconsin (74947) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Mon Health Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1518458470

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameABDALLA KARA BALLACredential: MD

Location Address2900 W OKLAHOMA AVEMilwaukee, WI 53215-4330

Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250

Phone(414) 649-6000

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMay 25, 2018

Last NPPES UpdateJune 26, 20265 updates tracked since enumeration

NPPES CertifiedJune 26, 2026

✔ NPI 1518458470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

Licenses✔ Licensed in WI · 74947✔ Licensed in WV · 33808

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 74947 (WI), 4301114508 (MI)

2900 W OKLAHOMA AVE, Milwaukee, WI 53215

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Secondary Practice Locations 4

Location 1150 Memorial DrKingwood, WV 26537-1141 · Phone (304) 329-1400

Location 21200 J D Anderson DrMorgantown, WV 26505-3494 · Phone (304) 598-1200

Location 3230 Hospital PlzWeston, WV 26452-8558 · Phone (304) 269-8000

Location 4140 Middletown LoopFairmont, WV 26554-8701 · Phone (304) 333-1150

Other Identifiers 1

Medicaid100171879WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, CareSource (Common Ground Healthcare).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

Abdalla Kara Balla 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 ID1557617164

PECOS Enrollment IDI20210616000773, I20251209002763

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 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

157 services63 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.

29 services29 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.

25 services25 patients

Hospital Affiliations CMS Care Compare 5

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

Mon Health Medical Center

Acute Care Hospitals · Morgantown, WV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510024

Location1200 Jd Anderson DriveMorgantown, WV 26505 · Monongalia County

Emergency services Birthing friendly

Aurora Health Care Central Inc

Acute Care Hospitals · Sheboygan, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520035

Location3400 Union AveSheboygan, WI 53081 · Sheboygan County

Emergency services Birthing friendly

Aurora Memorial Hospital Burlington

Acute Care Hospitals · Burlington, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520059

Location252 Mchenry StBurlington, WI 53105 · Racine County

Emergency services

Aurora Lakeland Medical Center

Acute Care Hospitals · Elkhorn, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520102

LocationW3985 County Road NnElkhorn, WI 53121 · Walworth County

Emergency services Birthing friendly

Bay Area Medical Center

Acute Care Hospitals · Marinette, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520113

Location3003 University DrMarinette, WI 54143 · Marinette County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53215 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

MUHAMMAD AKBAR MD LLC

Clinic/Center (Primary Care)

2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215

Milwaukee County (414) 365-3210

DR. JEFFREY T LYVERS M.D.

Anesthesiology

2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215

Milwaukee County (414) 649-6000

JESSICA MCDOWELL

Nurse Practitioner

2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215

Milwaukee County (414) 649-5279

MARA STASIK PA-C

Physician Assistant

2900 W OKLAHOMA AVE, 5TH FLOOR GALLERIA
MILWAUKEE, WI 53215

Milwaukee County (414) 646-2550

SARAH J PARVE NP

Nurse Practitioner

2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215

Milwaukee County (414) 649-6000

DR. RILEY MARINELLI PT, DPT

Physical Therapist

2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215

Milwaukee County (414) 649-6011

ASHLEY MARIE ALTER PHARMD

Pharmacist

2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215

Milwaukee County (414) 649-6930

DR. LAUREL THOME DPT

Physical Therapist

2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215

Milwaukee County (414) 649-6220

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 Abdalla Kara Balla's NPI number?

The NPI number for Abdalla Kara Balla is 1518458470. It was assigned to this individual provider in the NPPES registry on May 25, 2018.

Where is Abdalla Kara Balla located?

Abdalla Kara Balla practices at 2900 W Oklahoma Ave, Milwaukee, WI 53215. The listed phone number is (414) 649-6000.

What is Abdalla Kara Balla's specialty?

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

Is Abdalla Kara Balla enrolled in Medicare?

Yes. Abdalla Kara Balla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Abdalla Kara Balla accept?

Health plans from CareSource and CareSource (Common Ground Healthcare) list Abdalla Kara 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.

Is Abdalla Kara Balla affiliated with any hospitals?

According to CMS data, Abdalla Kara Balla is affiliated with Mon Health Medical Center, Aurora Health Care Central Inc, Aurora Memorial Hospital Burlington, Aurora Lakeland Medical Center and Bay Area Medical Center.

When was this NPI record last updated?

The NPPES record for Abdalla Kara Balla was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days 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.