Active NPI
Utpal S Bhalala, MD
- Pediatric Critical Care Medicine Physician
- San Antonio, TX
National Provider Identifier
1255604104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- Q6733
- Practice address
- 1533 S Brownlee Blvd Ste 100
San Antonio, TX 78207-3154 - Phone
- (361) 884-2242
- NPI assigned
- Feb 22, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | Q6733 | TX | Primary |
Addresses
Primary practice location
1533 S Brownlee Blvd Ste 100
San Antonio, TX 78207-3154
Mailing address
1533 S Brownlee Blvd Ste 100
Corpus Christi, TX 78404-3131
Phone (361) 884-2242
Other names 1
- Pal Bhalala
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baylor College of Medicine | Current | Accepting new patients |
Locations
2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835
333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190
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.
-
- Pediatrics Physician
- San Antonio, TX
- NPI 1285079764
-
- Federally Qualified Health Center (FQHC)
- Corpus Christi, TX
- NPI 1386770147
-
- Plastic Surgery Physician
- Corpus Christi, TX
- NPI 1568658227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1255604104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1533 S BROWNLEE BLVD STE 100",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784043131",
"telephone_number": "361-884-2242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1533 S BROWNLEE BLVD STE 100",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782073154",
"telephone_number": "361-884-2242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHALALA",
"first_name": "UTPAL",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-22",
"last_updated": "2024-05-08",
"certification_date": "2024-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "TX",
"license": "Q6733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PAL",
"last_name": "BHALALA",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.