PREETAM R BOLLAMPALLY (MD) – Internal Medicine Physician, NPI 1386059756
Internal Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
8,824 INTERNAL MEDICINE in IL
Provider Addresses for PREETAM R BOLLAMPALLY (MD)
1 Good Samaritan Way
Mount Vernon, IL 628642402
Phone: (618) 899-2497
Type: Location
2651 E Discovery Pkwy
Bloomington, IN 474089059
Phone: (812) 676-4102
Fax: (812) 676-4106
Type: Location
PO BOX 776351
CHICAGO, IL 606776351
Phone: (502) 588-9490
Fax: (502) 272-5116
Type: Mailing
200 E CHESTNUT ST BLDG SUITE303
LOUISVILLE, KY 402021831
Phone: (502) 629-5552
Fax: (502) 629-3132
Type: Location
PO BOX 775383
CHICAGO, IL 606775383
Phone: (123) 765-3815
Type: Mailing
2400 17TH ST
COLUMBUS, IN 472015351
Phone: (812) 376-5974
Type: Location
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 628642402
Phone: (618) 899-2497
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $230.
Total Amount is formed as General ($230) + Research ($0) + Ownership ($0) = $230.
Last reported payment date: 2024-05-15 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($124).
Total Amount
$230
General + Research + Ownership
Payments
4
Total payment records
General Amount
$230
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-15
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-11-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170920000769 | I | Internal Medicine | KY | TBD |
| I20181006000138 | I | Internal Medicine | IL | TBD |
| I20221110001309 | I | Internal Medicine | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 386 | 151 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 147 | 76 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 134 | 132 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 60 | 59 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 16 | 16 | $0 |
Insurance plans in this area (ZIP 62864)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Family Practice | IL | |
| Physician Assistant | IN | |
| N E U R O L O G Y | FL | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IL | |
| Family Practice | IN | |
| Family Practice | IN | |
| Physician Assistant | IL | |
| Nurse Practitioner | IN |
Reviews
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