Ratna Kamalakar Bollavarapu

Key facts

NPI: 1154072999
Entity type: Individual (NPI type 1)
Primary specialty: General Practice Dentistry 1223G0001X
License: 2023010796 (MO)
Practice address: 307 S Broadway
Salisbury, MO 65281-1037
Phone: (844) 853-8937
NPI assigned: Jan 13, 2022
Sex: Male
Sole proprietor: No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Compass Health, Inc Community/Behavioral Health Agency · Clinton, MO · NPI 1285619494

Medicare reassignment NPD MO
Compass Health, Inc Federally Qualified Health Center (FQHC) · Rolla, MO · NPI 1558258632

NPD
Tillery Dental Clinic Dentist · Hattiesburg, MS · NPI 1528240330

NPD (past)

Medicare Care Compare profile

Specialty: Dentist
Education: Other, 2017
Medicare assignment: May accept Medicare assignment

Practice addresses (Care Compare)

1800 Community
Clinton, MO 64735-8804

208 Otto Ave
Duenweg, MO 64841-1096

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MO
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20251119001330	MO	Practitioner - Dentist	6507221447	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
2023010796	MO	MD	General Practice Dentistry

Practice roles

Organization	Status	New patients
Compass Health, Inc	Current since Nov 12, 2025	Accepting new patients
Compass Health, Inc	Current since Nov 12, 2025	Accepting new patients
Tillery Dental Clinic	Past since Jan 1, 2022	Accepting new patients

Locations

1800 Community
#B
Clinton, MO 64735

1800 Community
Clinton, MO 64735
Phone (660) 885-8131

307 S Broadway
Salisbury, MO 65281
Phone (660) 388-6446

Interoperability endpoints

Direct secure messaging: ratna.bollavarapu.p1@direct.cfhc.nextgenshare.com
Direct secure messaging: ratnakamalakar.bollavarapu.p1@direct.compasshn.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
General Practice Dentistry	1223G0001X	2023010796	MO	Yes

Addresses

Primary practice location

307 S Broadway
Salisbury, MO 65281-1037

Mailing address

1800 Community
Clinton, MO 64735-8804
Phone (660) 885-8131

Other providers in Salisbury, MO

All providers in Salisbury, MO · General Practice Dentistry in Missouri

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.