Chindo Bala Mallum, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

01089078A Issued in IN

Practice address

1606 N 7TH St
Terre Haute, IN 47804-2706

Phone

(812) 242-3125

NPI assigned

Jul 8, 2018

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

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

Specialty

Neurology

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Union Associated Physicians Clinic, LLCGroup PAC ID 3375687437, 230 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Union Hospital Inc Hospital, Terre Haute, IN, CCN 150023
• Union Hospital Clinton Hospital, Clinton, IN, CCN 151326
• Paris Community Hospital Hospital, Paris, IL, CCN 141320
• Sullivan County Community Hospital Hospital, Sullivan, IN, CCN 151327

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Union Associated Physicians Clinic, LLC

  • Family Medicine Physician
  • Terre Haute, IN
  • NPI 1891028379
  Medicare reassignment Care Compare group NPD
• Union Associated Physicians Clinic LLC

  • Dermatology Physician
  • Terre Haute, IN
  • NPI 1407404940
  NPD
• Union Hospital Inc.

  • General Acute Care Hospital
  • Terre Haute, IN
  • NPI 1619975331
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sullivan County Community Hospital

  • Critical Access Hospital Clinic/Center
  • Sullivan, IN
  • NPI 1487450698
  Care Compare affiliation
• Sullivan County Community Hospital

  • Clinic/Center
  • Sullivan, IN
  • NPI 1497363303

  Hospital

  Care Compare affiliation
• Sullivan County Community Hospital

  • Critical Access Hospital
  • Sullivan, IN
  • NPI 1497759260
  Care Compare affiliation
• Union Hospital Inc.

  • General Acute Care Hospital
  • Terre Haute, IN
  • NPI 1619975331
  Care Compare affiliation
• Union Hospital, Inc

  • General Acute Care Hospital
  • Terre Haute, IN
  • NPI 1821859752
  Care Compare affiliation
• Union Hospital, Inc.

  • Critical Access Hospital
  • Clinton, IN
  • NPI 1306844519
  Care Compare affiliation
• West Central Community Hospital

  • General Acute Care Hospital
  • Clinton, IN
  • NPI 1093713802
  Care Compare affiliation
• Hospital & Medical Foundation of Paris, Inc.

  • Critical Access Hospital
  • Paris, IL
  • NPI 1679502322
  Care Compare affiliation

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

{
    "created_epoch": "1531008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1669968160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 N 4TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478044002",
            "telephone_number": "812-242-3125",
            "fax_number": "812-242-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 N 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478042706",
            "telephone_number": "812-242-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLUM",
        "first_name": "CHINDO",
        "middle_name": "BALA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-08",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01089078A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suellyn M Mahan, PH.D
• Sarah Maher, RBT
• Diana Lee Mahurin, MS.,CCC-SLP
• John Paul Maierle, PH.D.
• Debra Lynn Mallory, NP, PHD
• Antony A Malo, CRNA
• Erin Kathy Malone, OTR
• Hannah Malone, RBT
• Srinivasarao Malyala, M.D.
• Azriel Joy Pelayo Manalaysay

• Neurology Physician in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Neurology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.

Verify at the official NPI Registry.