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MR. BALI REDDY SODAM MD
NPI 1689787780
Internal Medicine - Nephrology in Lawton, OK

Active since August 16, 2006
4417 W GORE BLVD, SUITE 1, LAWTON, OK 73505(580) 536-5273(580) 357-8500 Get Directions Write a Review

NPPES record last updated: December 8, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Bali Reddy Sodam Md NPPES

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

MR. BALI REDDY SODAM MD (NPI 1689787780) is an individual nephrology provider in Lawton, Oklahoma, licensed in Oklahoma (24723) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1689787780
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameMR. BALI REDDY SODAMCredential: MD
Location Address4417 W GORE BLVD, SUITE 1Lawton, OK 73505-5978
Mailing Address4417 W Gore Blvd, Suite 1Lawton, OK 73505-5978 · (580) 536-5273 · Fax (580) 357-2423
Phone(580) 536-5273
Fax(580) 357-8500
Sole ProprietorYes
Enumeration DateAugust 16, 2006
Last NPPES UpdateDecember 8, 2010
✔ NPI 1689787780 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 OK · 24723
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.
4417 W GORE BLVD, Lawton, OK 73505
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Other Identifiers 3

Medicare UPINI50032OK
Medicaid200074670AOK
Medicare PIN245735102OK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

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.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
230 services27 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
168 services63 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.
16 services16 patients

Other Providers at the Same Location NPPES 15

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

ANTHONY JOSEPH LA SORSA PT
Physical Therapist
4417 W GORE BLVD, SUITE 14
LAWTON, OK 73505
Comanche County (580) 353-9399
DR. SHARLENNE SUMPTER DDS
Dentist
4417 W GORE BLVD, STE 10
LAWTON, OK 73505
Comanche County (580) 248-7333
JEFFREY L ZWEIG MD PC
Obstetrics & Gynecology
4417 W GORE BLVD, STE 3
LAWTON, OK 73505
Comanche County (580) 357-1002
JOHN ALFRED COX JR. MD
Internal Medicine (Pulmonary Disease)
4417 W GORE BLVD, #5
LAWTON, OK 73505
Comanche County (580) 248-0110
WAVEL L. WELLS, DDS, INC
Dentist (General Practice)
4417 W GORE BLVD, SUITE 11
LAWTON, OK 73505
Comanche County (580) 248-8418
NICHOLAS JOSEPH CHELENZA JR. DDS
Dentist (Pediatric Dentistry)
4417 W GORE BLVD, SUITE 11
LAWTON, OK 73505
Comanche County (580) 248-8418
MAGDALENA B SIKORA MD PC
Clinic/Center (Medical Specialty)
4417 W GORE BLVD, SUITE 1
LAWTON, OK 73505
Comanche County (580) 699-5400
DAN HORTON, M.D., INC.
Clinic/Center
4417 W GORE BLVD, SUITE 6
LAWTON, OK 73505
Comanche County (580) 353-3920

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 Bali Sodam's NPI number?

The NPI number for Bali Sodam is 1689787780. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Bali Sodam located?

Bali Sodam practices at 4417 W Gore Blvd Suite 1, Lawton, OK 73505. The listed phone number is (580) 536-5273.

What is Bali Sodam's specialty?

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

What insurance does Bali Sodam accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Bali Sodam 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 Bali Sodam was last updated on December 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.