Active NPI
Preetam R Bollampally, MD
- Internal Medicine Physician
- Columbus, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01088716A
- Practice address
- 2400 17TH St
Columbus, IN 47201-5351 - Phone
- (812) 376-5974
- NPI assigned
- Jun 24, 2014
- Last updated
- Oct 1, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036146843 | IL | |
| Internal Medicine Physician | 207R00000X | 01088716A | IN | Primary |
| Hospitalist Physician | 208M00000X | 01088716A | IN |
Addresses
Primary practice location
2400 17TH St
Columbus, IN 47201-5351
Mailing address
PO Box 775383
Chicago, IL 60677-5383
Phone (123) 765-3815
Other practice location 1
2651 E Discovery Pkwy
Bloomington, IN 47408-9059
Phone (812) 676-4102
Other practice location 2
1 Good Samaritan Way
Mount Vernon, IL 62864-2402
Phone (618) 899-2497
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pbollampally41824@edirect.crh.org | Direct | |
| Direct Messaging Address | pbollampally@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2400 17TH St
Columbus, IN 47201-5351
Phone (812) 376-5974
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University Health Southern Indiana Physicians, LLC | Internal Medicine | Current | Accepting new patients |
| Indiana University Health Southern Indiana Physicians LLC | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Washington County Hospital District | Current | Accepting new patients | |
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Columbus Regional Health Physicians, LLC | Internal Medicine | Current | Accepting new patients |
| St. Mary's Hospital, Centralia, Illinois | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Internal Medicine | Current | Accepting new patients |
| Washington County Hospital District | Current | Accepting new patients | |
| St. Mary's Hospital, Centralia, Illinois | Current | Accepting new patients | |
| Columbus Regional Health Physicians, LLC | Current | Accepting new patients | |
| St. Mary's Hospital, Centralia, Illinois | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Internal Medicine | Current | Accepting new patients |
Locations
400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221
7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155
705 S Grand St
Nashville, IL 62263
Phone (618) 327-2200
2651 E Discovery Pkwy
Bloomington, IN 47408
Phone (812) 353-9147
727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450
2400 17th St
Columbus, IN 47201
Phone (812) 373-3025
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
8111 S Emerson Ave
Ste 105
Indianapolis, IN 46237
Phone (317) 528-5500
200 E Chestnut St
Ste 303
Louisville, KY 40202
Phone (502) 629-5552
825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165
1145 Corporate Lake Dr
Saint Louis, MO 63132
Phone (314) 989-6189
Interoperability endpoints
- pbollampally@direct.iuhealth.org
Organizations & group practices 13
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.
-
- Internal Medicine Physician
- Columbus, IN
- NPI 1336510098
-
- Multi-Specialty Clinic/Center
- Bloomington, IN
- NPI 1013953983
Internal Medicine
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1306983762
-
dba SSM Health St. Mary's Hospital - Centralia
- Emergency Medicine Physician
- Centralia, IL
- NPI 1770687196
-
dba Washington County Hospital
- Critical Access Hospital
- Nashville, IL
- NPI 1659321560
-
- Family Medicine Physician
- Columbus, IN
- NPI 1740650225
-
- Durable Medical Equipment & Medical Supplies
- Bloomington, IN
- NPI 1063179844
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1588614994
-
dba Norton Community Medical Associates
- Internal Medicine Physician
- Louisville, KY
- NPI 1881192409
-
dba SSM Health St. Mary's Hospital - Centralia
- Anesthesiology Physician
- Centralia, IL
- NPI 1477097871
-
dba SSM Health St. Mary's Hospital - Centralia
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Centralia, IL
- NPI 1710105192
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbus, IN
- NPI 1104998624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759276800000",
"number": "1386059756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 775383",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606775383",
"telephone_number": "123-765-3815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 17TH ST",
"city": "COLUMBUS",
"state": "IN",
"postal_code": "472015351",
"telephone_number": "812-376-5974"
}
],
"practiceLocations": [
{
"address_1": "2651 E Discovery Pkwy",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "IN",
"postal_code": "474089059",
"country_code": "US",
"telephone_number": "812-676-4102",
"fax_number": "812-676-4106",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Good Samaritan Way",
"address_purpose": "LOCATION",
"city": "Mount Vernon",
"state": "IL",
"postal_code": "628642402",
"country_code": "US",
"telephone_number": "618-899-2497",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOLLAMPALLY",
"first_name": "PREETAM",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-24",
"last_updated": "2025-10-01",
"certification_date": "2025-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036146843",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01088716A",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IN",
"license": "01088716A",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pbollampally41824@edirect.crh.org",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct address",
"address_1": "2400 17th St",
"city": "Columbus",
"state": "IN",
"country_code": "US",
"postal_code": "472015351",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pbollampally@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2651 E Discovery Pkwy",
"city": "Bloomington",
"state": "IN",
"country_code": "US",
"postal_code": "474089059",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Columbus, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.