Organization Active NPI

Doctor Bala & Associates LLC

  • Primary Care Clinic/Center
  • Shelbyville, IN
National Provider Identifier
1063640167
Registry record updated Sep 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
01046233A Issued in IN
Legal business name
DOCTOR BALA & ASSOCIATES LLC
Practice address
2158 Intelliplex Dr
Suite 106
Shelbyville, IN 46176-8548
Phone
(317) 650-9740
NPI assigned
Jun 26, 2009
Last updated
Sep 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Bala Chander Rangaswami, M.D.
Title
Ceo Physician
Phone
(317) 650-9740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 01046233A IN Primary

Addresses

Primary practice location

2158 Intelliplex Dr
Suite 106
Shelbyville, IN 46176-8548

Mailing address

8011 Heyward Dr
Indianapolis, IN 46250-4226
Phone (317) 650-9740

Other identifiers 1

IdentifierTypeStateIssuer
1245480979OtherNPI NUMBER

National Provider Directory

National Provider Directory

Locations

3625 Solutions Ctr
Chicago, IL 60677

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252454400000",
    "number": "1063640167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8011 HEYWARD DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462504226",
            "telephone_number": "317-650-9740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2158 INTELLIPLEX DR",
            "address_2": "SUITE 106",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461768548",
            "telephone_number": "317-650-9740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR BALA & ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-26",
        "last_updated": "2009-09-09",
        "status": "A",
        "authorized_official_last_name": "RANGASWAMI",
        "authorized_official_first_name": "BALA",
        "authorized_official_middle_name": "CHANDER",
        "authorized_official_title_or_position": "CEO PHYSICIAN",
        "authorized_official_telephone_number": "317-650-9740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IN",
            "license": "01046233A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1245480979",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.