| Sudarshan Balla, MD | |
|
1 Hosptial Dr, Dc095, Columbia, MO 65212 | |
| (573) 884-2123 | |
| (573) 884-2168 |
| Full Name | Sudarshan Balla |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 24 Years |
| Location | 1 Hosptial Dr, Columbia, 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 |
|---|---|---|---|
| 1316100258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2008013469 (Missouri) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 27816 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| West Virginia University Hospitals | Morgantown, WV | Hospital |
| Princeton Community Hospital | Princeton, WV | Hospital |
| Garrett County Memorial Hospital | Oakland, MD | Hospital |
| United Hospital Center | Bridgeport, WV | Hospital |
| Uniontown Hospital | Uniontown, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Virginia University Medical Corporation | 1052224565 | 1722 |
| Princeton Community Hospital Assn. Inc. | 3678482221 | 153 |
| Entity Name | West Virginia University Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275504508 PECOS PAC ID: 1052224565 Enrollment ID: O20031111000207 |
| Entity Name | Princeton Community Hospital Assn. Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093917643 PECOS PAC ID: 3678482221 Enrollment ID: O20031211000436 |
| Entity Name | Grant Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598763666 PECOS PAC ID: 4284535758 Enrollment ID: O20040116000903 |
| Entity Name | Potomac Valley Hospital Of W Va , Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316054919 PECOS PAC ID: 8123917788 Enrollment ID: O20040311001344 |
| Entity Name | Potomac Valley Hospital Of W Va , Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1912979873 PECOS PAC ID: 8123917788 Enrollment ID: O20061104000290 |
| Entity Name | Camden-clark Physician Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710125430 PECOS PAC ID: 5294885661 Enrollment ID: O20090604000570 |
| Mailing Address | Practice Location Address |
|---|---|
| Sudarshan Balla, MD 1 Medical Center Dr, Morgantown, WV 26506-1200 Ph: (304) 598-4000 | Sudarshan Balla, MD 1 Hosptial Dr, Dc095, Columbia, MO 65212 Ph: (573) 884-2123 |
Dr. Rahul Jain, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-884-2296 Fax: 573-884-7743 | |
Janie Leathers Bruce, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr, Columbia, MO 65201 Phone: 573-884-1606 | |
Christos N Papageorgiou, M.D., PHD Cardiovascular Disease Medicare: May Accept Medicare Assignments Practice Location: One Hospital Drive, Columbia, MO 65212 Phone: 573-882-2100 Fax: 573-884-7822 | |
Jack Dwayne Bragg, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-884-8445 Fax: 573-884-5318 | |
Michelle Middleton Woodson, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 800 Hospital Dr, Columbia, MO 65201 Phone: 573-814-6000 Fax: 573-814-6584 | |
Dr. Sameer Bellapravalu, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Drive Room 313, Psychiatry Dept Dc067.00, Columbia, MO 65212 Phone: 573-884-6136 Fax: 573-884-1070 | |
Dr. William L Woods, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1605 E Broadway Ste 300, Columbia, MO 65201 Phone: 573-256-7700 Fax: 573-256-3003 |