Talluri Balaji, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

30591 Issued in NC

Practice address

423 S South St
Ste 101
Mount Airy, NC 27030-4576

Phone

(336) 786-5144

Fax

(336) 786-5146

NPI assigned

Jun 17, 2005

Last updated

Jan 14, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Surry Regional Health Services , Inc.

  dba Surry Urological Associates

  • Urology Physician
  • Mount Airy, NC
  • NPI 1669460911
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1609871375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1267",
            "city": "MT AIRY",
            "state": "NC",
            "postal_code": "270301267",
            "telephone_number": "336-786-4522",
            "fax_number": "336-789-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 S SOUTH ST",
            "address_2": "STE 101",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270304576",
            "telephone_number": "336-786-5144",
            "fax_number": "336-786-5146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAJI",
        "first_name": "TALLURI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "30591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8912732",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bailey Elizabeth Atkins
• Hannah Nichole Ayers
• Ronald Baczurik
• Alan Gregory Bagshaw, LCSW, LCAS
• Scott D Baird, PHARM D.
• Rachel A Baldi, MD
• Lyndsey Steelman Ballard, PHARM.D.
• Tamas Balogh, MD
• Baptist Hospital
• Mallory Barefoot, MD

• Urology Physician in Mount Airy, NC
• Providers in Mount Airy, NC by specialty
• Urology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.