DR. MOHAN BABU PALLA (M.D.) – Interventional Cardiology Physician, NPI 1477998896
Interventional Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,222 CARDIOVASCULAR DISEASE (CARDIOLOGY) in MI
Provider Addresses for DR. MOHAN BABU PALLA (M.D.)
4201 SAINT ANTOINE ST
UHC-2E
DETROIT, MI 482012153
Phone: (313) 745-4525
Fax: (313) 745-4052
Type: Location
12502 Willowbrook Rd
Cumberland, MD 215026491
Phone: (240) 964-8724
Type: Location
12500 Willowbrook Rd
Cumberland, MD 215026393
Phone: (240) 964-7000
Type: Location
619 E Mason St Ste 4P57
Springfield, IL 627011034
Phone: (217) 788-0706
Fax: (217) 525-2535
Type: Location
4201 Saint Antoine St
UHC-2E
Detroit, MI 482012153
Phone: (313) 745-4525
Fax: (313) 745-4052
Type: Location
2040 ROCHESTER RD
TROY, MI 480831837
Phone: (310) 426-4415
Type: Mailing
1011 BOWLES AVE STE 300
FENTON, MO 630262387
Phone: (636) 496-5065
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $78.
Total Amount is formed as General ($78) + Research ($0) + Ownership ($0) = $78.
Last reported payment date: 2024-04-04 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($63).
Total Amount
$78
General + Research + Ownership
Payments
2
Total payment records
General Amount
$78
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-04
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: 2025-11-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20211109000642 | I | Cardiovascular Disease (Cardiology) | WI | TBD |
| I20220802001848 | I | Cardiovascular Disease (Cardiology) | IL | TBD |
| I20250529004066 | I | Interventional Cardiology | MO | TBD |
| I20251121004430 | I | Interventional Cardiology | AK | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 513 | 198 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 271 | 230 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 173 | 136 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 146 | 144 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 106 | 106 | $0 |
Insurance plans in this area (ZIP 48201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AK | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | WA | |
| Family Practice | NC | |
| - | AK | |
| - | NY | |
| Nurse Practitioner | AK | |
| Physician Assistant | AK | |
| Nurse Practitioner | AK | |
| General Surgery, Plastic And Reconstructive Surgery | WA | |
| Physician Assistant | AK |
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