| Dr Sumanth Mulamalla, MD | |
|
15900 W 101st Ave, Dyer, IN 46311-3065 | |
| (219) 365-6333 | |
| (219) 365-8291 |
| Full Name | Dr Sumanth Mulamalla |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 22 Years |
| Location | 15900 W 101st Ave, Dyer, Indiana |
| 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 |
|---|---|---|---|
| 1003019647 | NPI | - | NPPES |
| 201121060A | Medicaid | IN | |
| F400289465 | Other | IL | IL MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 01065980A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Faith Regional Health Services | Norfolk, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| National Tele-nephrology Associates, Pc | 5496040065 | 5 |
| Entity Name | National Tele-nephrology Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235596180 PECOS PAC ID: 5496040065 Enrollment ID: O20160822000611 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sumanth Mulamalla, MD 210 S Desplaines St, Chicago, IL 60661-5500 Ph: (312) 654-2700 | Dr Sumanth Mulamalla, MD 15900 W 101st Ave, Dyer, IN 46311-3065 Ph: (219) 365-6333 |
Jeannie Boram Ur, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-852-1524 Fax: 219-933-2288 | |
Eshwar Nagraj Murthy, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-852-1524 Fax: 219-933-2288 | |
Mohamad Kassar, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1001 Calumet Ave, Dyer, IN 46311 Phone: 219-924-8178 Fax: 219-924-8179 | |
C Richard Smith, DO Nephrology Medicare: Not Enrolled in Medicare Practice Location: 2150 Gettler St Ste 400, Dyer, IN 46311 Phone: 219-865-0893 Fax: 219-865-3599 | |
Dr. Vladimir Selounski, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-852-1524 Fax: 219-933-2288 | |
Dr. Harold Leroy Rahming, MD Nephrology Medicare: Medicare Enrolled Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-852-1524 Fax: 219-933-2288 |