Robert Louis Bacallao (NPI# 1295792760, PAC ID# 4981739380) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1295792760 |
| PAC ID by PECOS | 4981739380 |
| Professional Enrollment ID | I20100323000743 |
| Full Name | Robert Louis Bacallao |
| Organization Legal Name | UNIVERSITY MEDICAL DIAGNOSTIC ASSOCIATES INC |
| Address |
1701 N Senate Blvd Bldg C6 Indianapolis IN 46202-1239 |
| Phone Number | 3179622000 |
| Gender | M |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | NEPHROLOGY |
| Group Practice PAC ID | 3375446347 |
| Number of Group Practice Members | 252 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150056 | INDIANA UNIVERSITY HEALTH METHODIST HOSPITAL (INDIANAPOLIS) |
| 150024 | ESKENAZI HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 1701 N Senate Blvd, Indianapolis, IN 46202-1239 | 3172748660 | UNIVERSITY MEDICAL DIAGNOSTIC ASSOCIATES INC |
| 1701 N Senate Blvd Bldg, C6, Indianapolis, IN 46202-1239 | 3179622000 | UNIVERSITY MEDICAL DIAGNOSTIC ASSOCIATES INC |
| 550 N University Blvd, Indianapolis, IN 46202-5149 | UNIVERSITY MEDICAL DIAGNOSTIC ASSOCIATES INC | |
| 710 Eskenazi Ave, Indianapolis, IN 46202-5166 | 3178808329 | UNIVERSITY MEDICAL DIAGNOSTIC ASSOCIATES INC |
| 720 Eskenazi Ave, Indianapolis, IN 46202-5166 | 3178808329 | UNIVERSITY MEDICAL DIAGNOSTIC ASSOCIATES INC |
| Organization Legal Name | UNIVERSITY MEDICAL DIAGNOSTIC ASSOCIATES INC |
| Physicians | 252 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Marie Stahl | Sleep Medicine | University Medical Diagnostic Associates Inc | 714 N Senate Ave, Suite 120, Indianapolis, IN 46202-3297 |
| Rachel Christine Morgan | Endocrinology | University Medical Diagnostic Associates Inc | 8820 S Meridian, Suite 230, Indianapolis, IN 46217-6058 |
| Chillnille L Milbrooks | Nurse Practitioner | University Medical Diagnostic Associates Inc | 2140 N Capitol Ave, Indianapolis, IN 46202-1225 |
| Steven T Hugenberg | Rheumatology | University Medical Diagnostic Associates Inc | 13000 E 136th St, Fishers, IN 46037-9478 |
| Timothy A Sutton | Nephrology | University Medical Diagnostic Associates Inc | 1701 N Senate Blvd Bldg, C6, Indianapolis, IN 46202-1239 |
| Katherine J Kelly | Nephrology | University Medical Diagnostic Associates Inc | 1481 W 10th St, Indianapolis, IN 46202-2803 |
| Anton A Cabellon | Nephrology | University Medical Diagnostic Associates Inc | 550 N University Blvd, Indianapolis, IN 46202-5149 |
| Shalini Manchanda | Pulmonary Disease | University Medical Diagnostic Associates Inc | 13000 E 136th St, Fishers, IN 46037-9478 |
| Yelena Chernyak | Psychologist, Clinical | University Medical Diagnostic Associates Inc | 1801 N Senate Blvd, Indianapolis, IN 46202-1228 |
| Paris Roach | Endocrinology | University Medical Diagnostic Associates Inc | 13000 E 136th St, Fishers, IN 46037-9478 |
| Street Address |
1701 N SENATE BLVD BLDG C6 |
| City | INDIANAPOLIS |
| State | IN |
| Zip | 46202-1239 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy A Sutton | Nephrology | University Medical Diagnostic Associates Inc | 1701 N Senate Blvd Bldg, C6, Indianapolis, IN 46202-1239 |
| Ranjani Moorthi | Nephrology | University Medical Diagnostic Associates Inc | 1701 N Senate Blvd Bldg, C6, Indianapolis, IN 46202-1239 |
| Michael T Eadon | Nephrology | University Medical Diagnostic Associates Inc | 1701 N Senate Blvd Bldg, C6, Indianapolis, IN 46202-1239 |
| Smrity Upadhyay | Infectious Disease | University Medical Diagnostic Associates Inc | 1701 N Senate Blvd Bldg, C6, Indianapolis, IN 46202-1239 |
| Michael J Econs | Endocrinology | University Medical Diagnostic Associates Inc | 1701 N Senate Blvd Bldg, C6, Indianapolis, IN 46202-1239 |
| Theresa A Guise | Endocrinology | University Medical Diagnostic Associates Inc | 1701 N Senate Blvd Bldg, C6, Indianapolis, IN 46202-1239 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samantha N Jahnke | Optometry | 640 E Michigan St, Suite B, Indianapolis, IN 46202-0007 | |
| Elizabeth Ann Collins | Anesthesiology | Iu Anesthesiology Associates-pediatrics, LLC | 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269 |
| Julie D Dunlap | Anesthesiology | Iu Anesthesiology Associates-pediatrics, LLC | 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269 |
| Gabriel M Krause | Anesthesiology | Iu Anesthesiology Associates-pediatrics, LLC | 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269 |
| Jian Ye | Anesthesiology | Iu Anesthesiology Associates-pediatrics, LLC | 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269 |
| Anne E Cossu | Anesthesiology | Iu Anesthesiology Associates-pediatrics, LLC | 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269 |
| Molly Colgan Gerety | Certified Registered Nurse Anesthetist (crna) | Iu Anesthesiology Associates-pediatrics, LLC | 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269 |
| Alex J Serafin | Anesthesiology | Iu Anesthesiology Associates-pediatrics, LLC | 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269 |
| Senthilkumar Sadhasivam | Anesthesiology | Iu Anesthesiology Associates-pediatrics, LLC | 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269 |
| Donal P Dunne | Gastroenterology | Meridian Medical Group PC | 1801 N Senate Blvd, Suite 700, Indianapolis, IN 46202-1177 |
| Find all physicians in zip 46202 | |||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
| Specialty | NEPHROLOGY |
| City + Specialty | INDIANAPOLIS + NEPHROLOGY |
Please comment or provide details below to improve the information on Robert Louis Bacallao.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.