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NPISignal

Individual Healthcare Provider

Mohan Babu Palla, M.D.

NPI Record: ActiveInternal Medicine — Interventional Cardiology
NPI1477998896
Fenton, Missouri

Provider's NPPES record last updated: June 11, 2025

Overview

Entity Type
Individual Healthcare Provider
NPI
1477998896
Primary Specialty
Internal Medicine — Interventional Cardiology
Practice Location
Fenton, Missouri
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 1:30 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Internal Medicine

    Interventional Cardiology

    Allopathic & Osteopathic Physicians

    Primary

    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.

    Taxonomy code 207RI0011X
  • Internal Medicine

    Allopathic & Osteopathic Physicians

    A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

    Taxonomy code 207R00000X
  • Internal Medicine

    Cardiovascular Disease

    Allopathic & Osteopathic Physicians

    An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

    Taxonomy code 207RC0000X
  • Student in an Organized Health Care Education/Training Program

    Student, Health Care

    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

    Taxonomy code 390200000X

Provider-Reported License Information

Internal Medicine (Missouri)
2025017659
Internal Medicine (Maryland)
D90794
Internal Medicine (Illinois)
036160962
Internal Medicine (Maryland)
D90794
Internal Medicine (Illinois)
036160962
Internal Medicine (North Dakota)
21166
Internal Medicine (Maryland)
PENDING
Internal Medicine (Illinois)
036160962
Internal Medicine (Maryland)
D9074
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

1011 Bowles Ave Ste 300

Fenton, Missouri 63026-2387

Phone: (636) 496-5065

Additional Practice Location

12502 Willowbrook Rd

Cumberland, Maryland 21502-6491

Phone: (240) 964-8724

Additional Practice Location

12500 Willowbrook Rd

Cumberland, Maryland 21502-6393

Phone: (240) 964-7000

Additional Practice Location

619 E Mason St Ste 4p57

Springfield, Illinois 62701-1034

Phone: (217) 788-0706

Fax: (217) 525-2535

Additional Practice Location

4201 Saint Antoine St

Uhc-2e

Detroit, Michigan 48201-2153

Phone: (313) 745-4525

Fax: (313) 745-4052

Record Information

Enumeration Date
April 30, 2013
Provider's NPPES Record Last Updated
June 11, 2025
Certification Date
June 11, 2025
NPISignal NPPES Dataset
August 2026

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