Ganapathy Bala, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

36577 Issued in CO

Practice address

1315 S Pueblo Blvd
Pueblo, CO 81005-2191

Phone

(719) 561-9757

Fax

(719) 561-9764

NPI assigned

Jun 21, 2005

Last updated

Dec 4, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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.

• Ganapathy Bala MD LLC

  dba Allergy and Asthma Center

  • Allergy Physician
  • Pueblo, CO
  • NPI 1912916529
  Authorized official Same address or phone
• William Storms Allergy Clinic PC

  • Allergy & Immunology Physician
  • Colorado Springs, CO
  • NPI 1184635914
  NPD (past)

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449187200000",
    "number": "1972509438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 S PUEBLO BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052191",
            "telephone_number": "719-561-9757",
            "fax_number": "719-561-9764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 S PUEBLO BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052191",
            "telephone_number": "719-561-9757",
            "fax_number": "719-561-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALA",
        "first_name": "GANAPATHY",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2015-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CO",
            "license": "36577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01365774",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda S. Baker, LPC
• Jalea Baker, LPC
• Julia Michelle Baker, COTA/L
• Wendy Baker
• Amira Bakkar, MD
• Kimberlee Balagat
• Natasha Balcom
• Jay A Balestrieri, NP
• Louis B Balizet, MD
• Elissa Ball, M.D.

• Allergy & Immunology Physician in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Allergy & Immunology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; 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.