Active NPI
Kalyana CR Pallerla, MD
- Hospitalist Physician
- Bowling Green, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- TP792
- Practice address
- 250 Park St
Bowling Green, KY 42101-1760 - Phone
- (270) 796-6540
- Fax
- (270) 796-6576
- NPI assigned
- Jun 15, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Hospitalist Physician | 208M00000X | TP792 | KY | Primary |
| Internal Medicine Physician | 207R00000X | TP792 | KY |
Addresses
Primary practice location
250 Park St
Bowling Green, KY 42101-1760
Mailing address
PO Box 2697
Bowling Green, KY 42102-7697
Phone (270) 796-6540
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 Brookhaven Rd
Franklin, KY 42134-2746
250 Park St
Bowling Green, KY 42101-1760
Phone (270) 781-7178
456 Burnley Rd
Scottsville, KY 42164-6355
Phone (270) 780-2760
466 Burnley Rd
Scottsville, KY 42164-6355
Phone (270) 780-2750
825 2ND Ave E
Suite C2
Bowling Green, KY 42101-1786
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TP792 | KY | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Health Corporation, Inc. | Hospitalist | Current | Accepting new patients |
| Commonwealth Health Corporation, Inc | Current | Accepting new patients | |
| Commonwealth Health Corporation, Inc. | Current | Accepting new patients | |
| Bowling Green-Warren County Community Hospital Corporation | Past | Accepting new patients |
Locations
250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000
350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075
Organizations & group practices 4
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.
-
dba Med Center Health Neurology
- Neurology Physician
- Bowling Green, KY
- NPI 1881109304
-
dba Med Center Health Plastic & Reconstructive Surgery
- Plastic and Reconstructive Surgery Physician
- Bowling Green, KY
- NPI 1104470699
-
dba Inpatient Medicine Associates
- Hospitalist Physician
- Bowling Green, KY
- NPI 1205085495
-
dba The Medical Center
- General Acute Care Hospital
- Bowling Green, KY
- NPI 1043293608
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba The Medical Center
- General Acute Care Hospital
- Bowling Green, KY
- NPI 1043293608
-
dba The Medical Center at Scottsville
- Critical Access Hospital
- Scottsville, KY
- NPI 1710906565
-
dba The Medical Center at Franklin
- Critical Access Hospital
- Franklin, KY
- NPI 1831173467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311033600000",
"number": "1275854143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2697",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421027697",
"telephone_number": "270-796-6540",
"fax_number": "270-796-6576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 PARK ST",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421011760",
"telephone_number": "270-796-6540",
"fax_number": "270-796-6576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALLERLA",
"first_name": "KALYANA",
"middle_name": "CR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-15",
"last_updated": "2011-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "KY",
"license": "TP792",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "TP792",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.