NPIMap

Individual provider Active NPI

Bala S. Somayaji, MD

  • Infectious Disease Physician
  • Kansas City, MO
National Provider Identifier
1407868268
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
2009012116 Issued in MO
Practice address
200 NE 54TH St
Suite 111
Kansas City, MO 64118-4389
Phone
(816) 799-0180
Fax
(630) 528-9579
NPI assigned
Aug 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 2009012116 MO Primary
Infectious Disease Physician 207RI0200X 04-32474 KS

Addresses

Primary practice location

200 NE 54TH St
Suite 111
Kansas City, MO 64118-4389

Mailing address

4601 W 109TH St Ste 100
Overland Park, KS 66211-1313
Phone (913) 942-0540

Other names 1

  • Tripura Sundary Mantha Bala Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20091013000040 MO Practitioner - Infectious Disease 4486650496 Reassigns benefits to 1 organization
I20171024000570 KS Practitioner - Infectious Disease 4486650496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10500 Quivira Rd
Overland Park, KS 66215-2306
Phone (913) 942-0540

12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (913) 942-0540

200 NE 54TH St
Unit 111
Kansas City, MO 64118-4338
Phone (816) 799-0180

4601 W 109TH St
Suite 100
Overland Park, KS 66211-1313
Phone (913) 942-0540

5701 W 110TH St
Overland Park, KS 66211-2503
Phone (816) 444-7977

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-32474KSMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Infectious Disease Consultants, LLC Infectious Disease CurrentSince Sep 1, 2017 Accepting new patients
Metro Infectious Disease Consultants LLC Infectious Disease CurrentSince Sep 1, 2017 Accepting new patients
Internal Medicine Education Foundation Inc Past Accepting new patients
Iris Inpatient Services Past Accepting new patients
Metro Infusion Center PLLC Infectious Disease Past Accepting new patients
Aquinas Inpatient Services Past Accepting new patients

Locations

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

4601 W 109th St
Ste 100
Overland Park, KS 66211
Phone (913) 491-0765

1131 SW Winding Rd
Ste 300
Topeka, KS 66615

200 NE 54th St
Unit 111
Kansas City, MO 64118
Phone (816) 455-7400

2340 E Meyer Blvd
Ste 392
Kansas City, MO 64132
Phone (816) 444-7977

20 NE Saint Lukes Blvd
Ste 300
Lees Summit, MO 64086
Phone (816) 454-1658

931 NE Columbus St
Lees Summit, MO 64086

2821 N Ballas Rd
Ste 118
Saint Louis, MO 63131

403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500

Organizations & group practices 6

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.

Hospital & facility affiliations 7

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1407868268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 W 109TH ST STE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111313",
            "telephone_number": "913-942-0540",
            "fax_number": "630-528-9589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NE 54TH ST",
            "address_2": "SUITE 111",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641184389",
            "telephone_number": "816-799-0180",
            "fax_number": "630-528-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMAYAJI",
        "first_name": "BALA",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MO",
            "license": "2009012116",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "KS",
            "license": "04-32474",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRIPURA",
            "last_name": "MANTHA BALA",
            "middle_name": "SUNDARY",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.