Mamtha Balla, MD,MPH - Medicare Internal Medicine in Toledo, OH

Mamtha Balla, MD,MPH is a medicare enrolled "Internal Medicine" physician in Toledo, Ohio. She graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Promedica Multi Specialty and her current practice location is 2142 N Cove Blvd, Toledo, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 291-4000.

Mamtha Balla is licensed to practice in Pennsylvania (license number MT200811) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1346503034.

Contact Information

Mamtha Balla, MD,MPH
2142 N Cove Blvd,
Toledo, OH 43606-3895
(419) 291-4000
Not Available

Map and Direction




Physician's Profile

Full NameMamtha Balla
GenderFemale
SpecialityInternal Medicine
Experience16 Years
Location2142 N Cove Blvd, Toledo, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mamtha Balla graduated from medical school in 2008
  NPI Data:
  • NPI Number: 1346503034
  • Provider Enumeration Date: 06/19/2012
  • Last Update Date: 11/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0648428938
  • Enrollment ID: I20150810001393

Medical Identifiers

Medical identifiers for Mamtha Balla such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346503034NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MT200811 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Promedica Toledo HospitalToledo, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Promedica Multi Specialty711318280979

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mamtha Balla allows following entities to bill medicare on her behalf.
Entity NamePromedica Central Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043270150
PECOS PAC ID: 2365348190
Enrollment ID: O20031211000226
Entity NamePromedica Multi Specialty
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306105150
PECOS PAC ID: 7113182809
Enrollment ID: O20120702000334

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mamtha Balla is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mamtha Balla, MD,MPH
2142 N Cove Blvd,
Toledo, OH 43606-3895

Ph: (419) 291-4000
Mamtha Balla, MD,MPH
2142 N Cove Blvd,
Toledo, OH 43606-3895

Ph: (419) 291-4000

Reviews and Comments


Internal Medicine Doctors in Toledo, OH

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Naeem A Lughmani, MD
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Phone: 419-479-5392    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.