| Dr Kiran Babu Bandaru, MD | |
|
1235 E Cherokee St, Springfield, MO 65804-2203 | |
| (417) 820-2600 | |
| Not Available |
| Full Name | Dr Kiran Babu Bandaru |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 27 Years |
| Location | 1235 E Cherokee St, Springfield, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376721209 | NPI | - | NPPES |
| 1376721209 | Medicaid | MO | |
| P01246683 | Other | MN | RR MCR |
| 431560263 | Other | MO | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2013017443 (Missouri) | Secondary |
| 208M00000X | Hospitalist | 2013017443 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Springfield | Springfield, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic Springfield Communities | 7416865845 | 1121 |
| Entity Name | Mercy Clinic Springfield Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060 |
| Entity Name | Mercy Clinic Springfield Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kiran Babu Bandaru, MD Po Box 2580, Springfield, MO 65801-2580 Ph: (417) 829-4620 | Dr Kiran Babu Bandaru, MD 1235 E Cherokee St, Springfield, MO 65804-2203 Ph: (417) 820-2600 |
Tapasya Raavi, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2600 |
Mr. Shyam Krishna Thapa, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2600 |
Amber Rose Mccormick, DO Hospitalist Medicare: Medicare Enrolled Practice Location: 3801 S National Ave Ste 1122, Springfield, MO 65807 Phone: 141-726-9600 |
Dr. Lisa K. Ovens, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2600 |
Gregory A Melton, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2600 |