MOHAN B. PALLA M.D. – NPI #1477998896
Internal Medicine

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Health Care Provider Taxonomy Code for Internal Medicine

MOHAN PALLA is a physician located in FENTON, MO. NPPES has assigned the NPI number 1477998896 to MOHAN PALLA on April 30, 2013. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 4 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RI0011X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Interventional Cardiology

The NPI profile was last updated on Jun 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MOHAN PALLA below.

NPI Profile for
MOHAN B. PALLA

NPI Number
1477998896
Enumeration Date

(more than 13 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MOHAN B. PALLA
Credentials
M.D.
Primary location
1011 BOWLES AVE STE 300
FENTON, MO 63026-2387
Phone: (636) 496-5065 Fax:
4 Other location(s):
619 E Mason St Ste 4P57
Springfield, IL 62701-1034
Phone: (217) 788-0706
Fax: (217) 525-2535
12500 Willowbrook Rd
Cumberland, MD 21502-6393
Phone: (240) 964-7000
12502 Willowbrook Rd
Cumberland, MD 21502-6491
Phone: (240) 964-8724
4201 Saint Antoine St
UHC-2E
Detroit, MI 48201-2153
Phone: (313) 745-4525
Fax: (313) 745-4052
Mailing address
2040 ROCHESTER RD
TROY, MI 48083-1837
Phone: (310) 426-4415 Fax:
Sole Proprietor
No
Updated
Certification Date
Jun 11, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RI0011X
- Internal Medicine / Interventional Cardiology (Primary)		 MD D9074
390200000X
- Student in an Organized Health Care Education/Training Program
207RC0000X
- Internal Medicine / Cardiovascular Disease		 IL 036160962
207R00000X
- Internal Medicine		 MD D90794

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
OTHER
Affiliation
N
Endpoint Location
619 E MASON ST STE 4P57,
SPRINGFIELD, IL 77025-1669

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MOHAN PALLA is affiliated with the following medical group(s):
  • HOSPITAL
    • ASHTABULA COUNTY MEDICAL CENTER
      2420 LAKE AVENUE
      ASHTABULA, OH 44004
    • COMMUNITY MEMORIAL HOSPITAL
      W180 N8085 TOWN HALL RD
      MENOMONEE FALLS, WI 53051
    • MEMORIAL MEDICAL CENTER
      701 N FIRST ST
      SPRINGFIELD, IL 62702
    • MONUMENT HEALTH RAPID CITY HOSPITAL
      353 FAIRMONT BLVD POST OFFICE BOX 6000
      RAPID CITY, SD 57701
    • MONUMENT HEALTH SPEARFISH HOSPITAL
      1440 N MAIN ST
      SPEARFISH, SD 57783

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How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.