Individual provider Active NPI

Babitha Nalluri, MD

  • Gynecology Physician
  • Youngstown, OH
National Provider Identifier
1518933563
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
35083919 Issued in OH
Practice address
7067 Tiffany Blvd
Suite 220
Youngstown, OH 44514-1993
Phone
(330) 758-2041
Fax
(330) 758-2042
NPI assigned
Feb 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 35083919 OH Primary

Addresses

Primary practice location

7067 Tiffany Blvd
Suite 220
Youngstown, OH 44514-1993

Mailing address

PO Box 14577
Poland, OH 44514-7577
Phone (330) 758-2041

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040816001098 OH Practitioner - Obstetrics/Gynecology 2163495698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Babitha Nalluri MD LTDGroup PAC ID 8628041142, 6 clinicians

Practice addresses (Care Compare)

7067 Tiffany Blvd
Suite 220
Poland, OH 44514-1981
Phone (330) 758-2041

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35083919OHMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Babitha Nalluri MD LTD CurrentSince May 21, 2004 Accepting new patients
Mercy Health Youngstown LLC Past Accepting new patients
Mercy Health Youngstown LLC PastSince Aug 2, 2004 Accepting new patients

Locations

7067 Tiffany Blvd
Ste 220
Youngstown, OH 44514
Phone (330) 758-2041

Interoperability endpoints

  • Direct secure messaging: bnalluri35075@direct.bsmhealth.org

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.

Hospital & facility affiliations 4

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1518933563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14577",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445147577",
            "telephone_number": "330-758-2041",
            "fax_number": "330-758-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7067 TIFFANY BLVD",
            "address_2": "SUITE 220",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445141993",
            "telephone_number": "330-758-2041",
            "fax_number": "330-758-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALLURI",
        "first_name": "BABITHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-28",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "OH",
            "license": "35083919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.