CHINDO BALA MALLUM (MD) – Neurology Physician, NPI 1669968160

CHINDO BALA MALLUM (MD) is a healthcare provider. based in Terre haute, Indiana. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. 01089078A (IN). The NPI Number for CHINDO BALA MALLUM (MD) is 1669968160

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
CHINDO BALA MALLUM (MD)
NPI
1669968160
Phone
(812) 242-3125
Address
1739 N 4TH ST
Enumeration Date
8 July 2018
Last Update Date
1 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8122423600
Graduation Year
2004 (22 years ago)
PAC ID
3173983111
Group Practice PAC ID
3375687437
Professional Enrollment ID
I20230721001633
Address ID
IN478044002TE1739XSTXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

529 NEUROLOGY in IN

Provider Addresses for CHINDO BALA MALLUM (MD)

  • 1739 N 4TH ST

    TERRE HAUTE, IN 478044002

    Phone: (812) 242-3125

    Fax: (812) 242-3446

    Type: Mailing

  • 1606 N 7TH ST

    TERRE HAUTE, IN 478042706

    Phone: (812) 242-3125

    Type: Location

  • 920 STANTON L YOUNG BLVD # WP2040

    OKLAHOMA CITY, OK 731045036

    Phone: (405) 271-4113

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 179 Open Payments records for all available years, with a total value of $5,456.

Total Amount is formed as General ($5,456) + Research ($0) + Ownership ($0) = $5,456.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: LivaNova USA, Inc. ($709).

Total Amount

$5,456

General + Research + Ownership

Payments

179

Total payment records

General Amount

$5,456

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-07-21

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230721001633INeurologyINTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99204New patient office or other outpatient visit, 45-59 minutes7474$0
99205New patient office or other outpatient visit, 60-74 minutes3030$0
99213Established patient office or other outpatient visit, 20-29 minutes2120$0
View full utilization report →

Insurance plans in this area (ZIP 47804)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375687437View full group profile
NameSpecialtyState
-IN
-IN
Hand SurgeryIN
Nurse PractitionerIN
General SurgeryNC
Nurse PractitionerIN
Orthopedic Surgery, Sports MedicineIN
D E R M A T O L O G YOH
-IN
Physician AssistantIN

Reviews

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Frequently asked questions

Where can patients find CHINDO BALA MALLUM (MD)'s NPI?
You can confirm CHINDO BALA MALLUM (MD) with NPI 1669968160; it appears in the national provider directory.
Does this profile mean CHINDO BALA MALLUM (MD) is currently active?
Yes — CHINDO BALA MALLUM (MD) appears active in the national provider directory.
What does CHINDO BALA MALLUM (MD) treat or focus on?
Patients typically see CHINDO BALA MALLUM (MD) under the specialty Neurology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place CHINDO BALA MALLUM (MD)?
The snapshot lists Terre Haute, Indiana for CHINDO BALA MALLUM (MD); download NPPES for the complete set.
Is CHINDO BALA MALLUM (MD) a real provider?
This page reflects official NPPES data for NPI 1669968160. Always confirm identity and privileges with the practice and licensing boards.

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