Active NPI
Bindu Repala, MD
- Hospitalist Physician
- Fort Smith, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 77902
- Practice address
- 6700 Fallstone Rd
Fort Smith, AR 72916-8958 - Phone
- (630) 842-0067
- NPI assigned
- Nov 26, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | EE8303 | AR | |
| Hospitalist Physician | 208M00000X | 77902 | GA | Primary |
Addresses
Primary practice location
6700 Fallstone Rd
Fort Smith, AR 72916-8958
Mailing address
2518 Jimmy Lee Smith Pkwy
Hiram, GA 30141-2068
Phone (470) 644-8027
Other practice location 1
2518 Jimmy Lee Smith Pkwy
Hiram, GA 30141-2068
Phone (470) 644-8027
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | brepala428754@directwellstar.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2518 Jimmy Lee Smith Pkwy
Hiram, GA 30141-2068
Phone (770) 732-4022
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
Hospital & facility affiliations
- Wellstar Paulding Medical Center
- Wellstar Cobb Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| EE8303 | AR | MD | Internal Medicine Physician |
| 77902 | GA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anemonefish Inpatient Services LLC | Internal Medicine | Current | Accepting new patients |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Mount Lassen Emergency Physicians LLC | Past | Accepting new patients | |
| Paulding Medical Center, Inc. | Past | Accepting new patients |
Locations
960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (404) 554-2196
5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340
2518 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (470) 644-7000
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Internal Medicine Physician
- Covington, GA
- NPI 1033514716
-
- Pediatrics Physician
- Austell, GA
- NPI 1073819124
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Emergency Medicine Physician
- Cartersville, GA
- NPI 1730598590
-
- General Acute Care Hospital
- Hiram, GA
- NPI 1457329435
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Austell, GA
- NPI 1467420448
-
- General Acute Care Hospital
- Hiram, GA
- NPI 1457329435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635292800000",
"number": "1992135073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2518 JIMMY LEE SMITH PKWY",
"city": "HIRAM",
"state": "GA",
"postal_code": "301412068",
"telephone_number": "470-644-8027",
"fax_number": "470-644-8064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6700 FALLSTONE RD",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729168958",
"telephone_number": "630-842-0067"
}
],
"practiceLocations": [
{
"address_1": "2518 Jimmy Lee Smith Pkwy",
"address_purpose": "LOCATION",
"city": "Hiram",
"state": "GA",
"postal_code": "301412068",
"country_code": "US",
"telephone_number": "470-644-8027",
"fax_number": "470-644-8064",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REPALA",
"first_name": "BINDU",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-26",
"last_updated": "2021-10-27",
"certification_date": "2021-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AR",
"license": "EE8303",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "GA",
"license": "77902",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "brepala428754@directwellstar.org",
"affiliation": "N",
"address_1": "2518 Jimmy Lee Smith Pkwy",
"city": "Hiram",
"state": "GA",
"country_code": "US",
"postal_code": "301412068",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.