Individual provider Active NPI

Nalini A Bangalore, MD

  • Internal Medicine Physician
  • McCordsville, IN
National Provider Identifier
1669413043
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01054007 Issued in IN
Practice address
8535 N Clearview Dr
Ste 400
McCordsville, IN 46055-6240
Phone
(317) 335-6930
Fax
(317) 335-5030
NPI assigned
Jun 9, 2006
Last updated
May 25, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01054007 IN Primary

Addresses

Primary practice location

8535 N Clearview Dr
Ste 400
McCordsville, IN 46055-6240

Mailing address

8535 N Clearview Dr
Ste 400
McCordsville, IN 46055-6240
Phone (317) 335-6930

Other identifiers 1

IdentifierTypeStateIssuer
200323670MedicaidIN

Other names 1

  • Bangalore A Nalini Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20151111000366 IN Practitioner - Internal Medicine 7113237785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hancock Physician Network LLCGroup PAC ID 8325952633, 139 clinicians

Practice addresses (Care Compare)

8535 N Clearview Dr
Suite 400
McCordsville, IN 46055-6241
Phone (317) 335-6930

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01054007INMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hancock Physician Network, LLC Internal Medicine CurrentSince Nov 2, 2015 Accepting new patients
Indiana University Health Inc Past Accepting new patients
Major Hospital Past Accepting new patients
Methodist Medical Group Physicians Inc Past Accepting new patients

Locations

1 Memorial Sq
Ste 50
Greenfield, IN 46140
Phone (317) 468-6257

801 N State St
Ste 2000
Greenfield, IN 46140
Phone (317) 325-2727

8535 N Clearview Dr
Ste 400
McCordsville, IN 46055
Phone (317) 335-6930

Organizations & group practices 4

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 5

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1669413043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8535 N CLEARVIEW DR",
            "address_2": "STE 400",
            "city": "MCCORDSVILLE",
            "state": "IN",
            "postal_code": "460556240",
            "telephone_number": "317-335-6930",
            "fax_number": "317-335-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8535 N CLEARVIEW DR",
            "address_2": "STE 400",
            "city": "MCCORDSVILLE",
            "state": "IN",
            "postal_code": "460556240",
            "telephone_number": "317-335-6930",
            "fax_number": "317-335-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANGALORE",
        "first_name": "NALINI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01054007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200323670",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BANGALORE",
            "last_name": "NALINI",
            "middle_name": "A",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in McCordsville, IN

Sources for this page

Verify at the official NPI Registry.