Sailesh Bala

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Saint Joseph, MO

NPI 1013864628 · NPPES record last updated Mar 12, 2026

Key facts

NPI
1013864628
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
100 Mosaic Court
Saint Joseph, MO 64506
Phone
(816) 271-6000
NPI assigned
Mar 12, 2026
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

100 Mosaic Court
Saint Joseph, MO 64506

Mailing address

100 Mosaic Court
Saint Joseph, MO 64506

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 12, 2026.

{
    "created_epoch": "1773273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1013864628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MOSAIC COURT",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "64506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MOSAIC COURT",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "64506",
            "telephone_number": "816-271-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALA",
        "first_name": "SAILESH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-03-12",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

All providers in Saint Joseph, MO · Student in an Organized Health Care Education/Training Program in Missouri

Sources for this page

Verify at the official NPI Registry.