Individual provider Active NPI

Bhupinderjit Kaur Ballagan

  • Physician Assistant
  • Belton, MO
National Provider Identifier
1215568589
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2021047186 Issued in MO
Practice address
17065 S Outer Rd
Belton, MO 64012-2165
Phone
(816) 276-4700
NPI assigned
Jan 27, 2020
Last updated
Jul 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 2021047186 MO Primary
Medical Physician Assistant 363AM0700X 2021047186 MO

Addresses

Primary practice location

17065 S Outer Rd
Belton, MO 64012-2165

Mailing address

PO Box 749495
Atlanta, GA 30374-9495
Phone (855) 963-2100

Other practice location 1

17053 S Outer Rd Fl 1
Belton, MO 64012
Phone (816) 974-5050

Other practice location 2

2750 Clay Edwards Dr Lowr Level
North Kansas City, MO 64116-3237
Phone (816) 691-5216

Other practice location 3

5112 Meadow Height Dr
Shawnee, KS 66226-2291
Phone (913) 636-7864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221020003164 MO Practitioner - Physician Assistant 7214303916 Reassigns benefits to 4 organizations
I20250506002163 KS Practitioner - Physician Assistant 7214303916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Missouri, Kansas City, School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Oncology Partners PAGroup PAC ID 0042569758, 377 clinicians
Bates County Memorial HospitalGroup PAC ID 8123937356, 66 clinicians

Practice addresses (Care Compare)

3850 S National Ave
Suite 600
Springfield, MO 65807-5230
Phone (417) 882-4880

615 W Nursery St
Butler, MO 64730-1840
Phone (660) 200-2004

617 W Nursery St
Butler, MO 64730-1840
Phone (660) 200-7133

802 E Hwy 60
Monett, MO 65708-9311
Phone (417) 882-4880

8919 Parallel Pkwy
Suite 326W
Kansas City, KS 66112-1655
Phone (913) 804-4031

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2021047186MOMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Meritas Health Corporation CurrentSince Dec 1, 2024 Accepting new patients
Mawd Pathology Group Inc Current Accepting new patients
Golden Valley Memorial Hospital District CurrentSince Dec 1, 2024 Accepting new patients
Mawd Pathologists, LLC Current Accepting new patients
Golden Valley Memorial Hospital District CurrentSince Dec 1, 2024 Accepting new patients
Bates County Memorial Hospital CurrentSince Feb 7, 2025 Accepting new patients
Meritas Health Corporation CurrentSince Dec 1, 2024 Accepting new patients
Bates County Memorial Hospital CurrentSince Feb 7, 2025 Accepting new patients
Cass Regional Medical Center Past Accepting new patients
American Oncology Partners, P.a. PastSince Aug 10, 2025 Accepting new patients

Locations

615 W Nursery St
Butler, MO 64730
Phone (660) 200-2004

1600 N 2nd St
Clinton, MO 64735
Phone (660) 885-8171

2750 Clay Edwards Dr
Lowr
North Kansas City, MO 64116
Phone (816) 691-2880

2790 Clay Edwards Dr
#1235
North Kansas City, MO 64116
Phone (816) 472-5157

Interoperability endpoints

  • Direct secure messaging: bhupinderjit.ballagan.1@15058.direct.athenahealth.com
  • Direct secure messaging: bhupinderjit.ballagan@cccancer.ikm.direct-ci.com

Organizations & group practices 14

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

View all 14

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1215568589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749495",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749495",
            "telephone_number": "855-963-2100",
            "fax_number": "813-321-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17065 S OUTER RD",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640122165",
            "telephone_number": "816-276-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17053 S Outer Rd Fl 1",
            "address_purpose": "LOCATION",
            "city": "Belton",
            "state": "MO",
            "postal_code": "64012",
            "country_code": "US",
            "telephone_number": "816-974-5050",
            "fax_number": "816-388-9369",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2750 Clay Edwards Dr Lowr Level",
            "address_purpose": "LOCATION",
            "city": "North Kansas City",
            "state": "MO",
            "postal_code": "641163237",
            "country_code": "US",
            "telephone_number": "816-691-5216",
            "fax_number": "816-346-7869",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5112 Meadow Height Dr",
            "address_purpose": "LOCATION",
            "city": "Shawnee",
            "state": "KS",
            "postal_code": "662262291",
            "country_code": "US",
            "telephone_number": "913-636-7864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALLAGAN",
        "first_name": "BHUPINDERJIT",
        "middle_name": "KAUR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-27",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2021047186",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MO",
            "license": "2021047186",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belton, MO

Sources for this page

Verify at the official NPI Registry.