Active NPI
Amita R Bhalla, M.D.
- Internal Medicine Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- R3K09
- Practice address
- 12200 Weber Hill Rd Ste 100
Saint Louis, MO 63127-1599 - Phone
- (314) 698-2500
- Fax
- (314) 698-2323
- NPI assigned
- Aug 5, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | R3K09 | MO | Primary |
Addresses
Primary practice location
12200 Weber Hill Rd Ste 100
Saint Louis, MO 63127-1599
Mailing address
12200 Weber Hill Rd Ste 100
Saint Louis, MO 63127-1599
Phone (314) 698-2500
Other practice location 1
3844 S. Lindbergh Blvd
Suite 160
St. Louis, MO 63127
Phone (314) 698-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01134538 | Other | MO | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- 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, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12200 Weber Hill Rd
Suite 100
Saint Louis, MO 63127-1569
Phone (314) 698-2500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic East Communities | Internal Medicine | Current | Accepting new patients |
Locations
1015 Bowles Ave
Ste 1000
Fenton, MO 63026
Phone (636) 390-1400
9513 Highway 100
New Haven, MO 63068
Phone (573) 237-6100
3844 S Lindbergh Blvd
Ste 160
Saint Louis, MO 63127
Phone (314) 698-2400
621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192
12200 Weber Hill Rd
Ste 100
Saint Louis, MO 63127
Phone (314) 698-2400
621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335
901 Patients First Dr
Washington, MO 63090
Phone (636) 239-7500
Interoperability endpoints
- abhalla326295@directc.mercy.net
- ms_abhalla8@landmarkhealth-direct.org
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1851335228
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520812800000",
"number": "1396754842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12200 WEBER HILL RD STE 100",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631271599",
"telephone_number": "314-698-2500",
"fax_number": "314-698-2323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12200 WEBER HILL RD STE 100",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631271599",
"telephone_number": "314-698-2500",
"fax_number": "314-698-2323"
}
],
"practiceLocations": [
{
"address_1": "3844 S. Lindbergh Blvd",
"address_2": "Suite 160",
"address_purpose": "LOCATION",
"city": "St. Louis",
"state": "MO",
"postal_code": "63127",
"country_code": "US",
"telephone_number": "314-698-2500",
"fax_number": "314-698-2323",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BHALLA",
"first_name": "AMITA",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2018-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "R3K09",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01134538",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; 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.