Madhuri Bobba, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

DR44733 Issued in CO

Practice address

1200 Carson Ave Ste 103
La Junta, CO 81050-2700

Phone

(719) 383-5925

Fax

(719) 383-5928

NPI assigned

Aug 1, 2006

Last updated

Apr 18, 2008By the provider in NPPES

Sex

Female

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1851307672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CARSON AVE STE 103",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810502700",
            "telephone_number": "719-383-5925",
            "fax_number": "719-383-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CARSON AVE STE 103",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810502700",
            "telephone_number": "719-383-5925",
            "fax_number": "719-383-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBBA",
        "first_name": "MADHURI",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR44733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03171027",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "BO678330",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00370636",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janice Baylor
• Mary Jean Berg, MD
• Michael Alvin Bergondo, MSW
• Kristin Leaann Bickel
• Parker Alan Bickel, B.S.
• Joyce E. Bond
• Joel Scott Bonzo, DO
• Richard Kent Book, DO
• Meghashree Bose
• Julie Bradbury, M.S.

• Internal Medicine Physician in La Junta, CO
• Providers in La Junta, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.