Balaji S Datti (NPI# 1356552095, PAC ID# 2567696073) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1356552095 |
| PAC ID by PECOS | 2567696073 |
| Professional Enrollment ID | I20131015002043 |
| Full Name | Balaji S Datti |
| Organization Legal Name | KANSAS MEDICAL CLINIC PA |
| Address |
2200 Sw 6th St Topeka KS 66606-1707 |
| Phone Number | 7853548518 |
| Gender | M |
| Graduation Year | 2000 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 4981592334 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170016 | ST FRANCIS HEALTH CENTER |
| 171338 | SABETHA COMMUNITY HOSPITAL |
| 170009 | SAINT JOHN HOSPITAL |
| 171341 | HIAWATHA COMMUNITY HOSPITAL |
| 171385 | COFFEY COUNTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2200 Sw 6th St, Topeka, KS 66606-1707 | 7853548518 | KANSAS MEDICAL CLINIC PA |
| Organization Legal Name | KANSAS MEDICAL CLINIC PA |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jayda Michelle Rupp | Nurse Practitioner | Kansas Medical Clinic Pa | 2200 Sw 6th St, Topeka, KS 66606-1707 |
| Carla K Skytta | Plastic and Reconstructive Surgery | Kansas Medical Clinic Pa | 6001 Sw6th Ave, Topeka, KS 66615-1011 |
| Majdy A Albahhar | Dermatology | Kansas Medical Clinic Pa | 4201 Anderson Ave, B2, Manhattan, KS 66503-7603 |
| Alexandra Nicole Heeren | Nurse Practitioner | Kansas Medical Clinic Pa | 2921 Swwanamaker Dr, Topeka, KS 66614-5328 |
| Cecil J Fackrell | Physician Assistant | Kansas Medical Clinic Pa | 6333 Long Ave, Suite 360, Shawnee, KS 66216-2544 |
| Lee R Bittenbender | Dermatology | Kansas Medical Clinic Pa | 3511 Clinton Pl C, Lawrence, KS 66047-2213 |
| James V Allen | Dermatology | Kansas Medical Clinic Pa | 11301 Nall Ave, Suite 205, Leawood, KS 66211-1672 |
| Shekhar K Challa | Gastroenterology | Kansas Medical Clinic Pa | 2200 Sw 6th St, Topeka, KS 66606-1707 |
| Walter A Dean | Physician Assistant | Kansas Medical Clinic Pa | 3511 Clinton Pl C, Lawrence, KS 66047-2213 |
| Shannon E Mawyin | Certified Registered Nurse Anesthetist (crna) | Kansas Medical Clinic Pa | 2200 Sw 6th St, Topeka, KS 66606-1707 |
| Street Address |
2200 SW 6TH ST |
| City | TOPEKA |
| State | KS |
| Zip | 66606-1707 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jayda Michelle Rupp | Nurse Practitioner | Kansas Medical Clinic Pa | 2200 Sw 6th St, Topeka, KS 66606-1707 |
| Shekhar K Challa | Gastroenterology | Kansas Medical Clinic Pa | 2200 Sw 6th St, Topeka, KS 66606-1707 |
| Shannon E Mawyin | Certified Registered Nurse Anesthetist (crna) | Kansas Medical Clinic Pa | 2200 Sw 6th St, Topeka, KS 66606-1707 |
| Laura L Welborn | Nurse Practitioner | Kansas Medical Clinic Pa | 2200 Sw 6th St, Topeka, KS 66606-1707 |
| Stacy D Dipman Ham | Certified Registered Nurse Anesthetist (crna) | Kansas Medical Clinic Pa | 2200 Sw 6th St, Topeka, KS 66606-1707 |
| Roger B Moss | Certified Registered Nurse Anesthetist (crna) | Kansas Medical Clinic Pa | 2200 Sw 6th St, Topeka, KS 66606-1707 |
| Megan E Bartlett | Physician Assistant | Kansas Medical Clinic Pa | 2200 Sw 6th St, Topeka, KS 66606-1707 |
| Kaitlin E Vaughn | Physician Assistant | Kansas Medical Clinic Pa | 2200 Sw 6th St, Topeka, KS 66606-1707 |
| Traci L Hoffman | Nurse Practitioner | Kansas Medical Clinic Pa | 2200 Sw 6th St, Topeka, KS 66606-1707 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela M Henderlong | Nurse Practitioner | Cotton Oneil Clinic Revocable Trust | 2660 Sw 3rd St, Topeka, KS 66606-0000 |
| Michael L Smith | Orthopedic Surgery | Cotton Oneil Clinic Revocable Trust | 2660 Sw 3rd St, Topeka, KS 66606-0000 |
| Amy Lee Newbery | Physical Therapy | Cotton Oneil Clinic Revocable Trust | 2660 Sw 3rd St, Topeka, KS 66606-0000 |
| Peter S Lepse | Orthopedic Surgery | Cotton Oneil Clinic Revocable Trust | 2660 Sw 3rd St, Topeka, KS 66606-0000 |
| Amanda Platt | Qualified Speech Language Pathologist | Cotton Oneil Clinic Revocable Trust | 2660 Sw 3rd St, Topeka, KS 66606-0000 |
| James A Holland | Physical Therapy | Cotton Oneil Clinic Revocable Trust | 2660 Sw 3rd St, Topeka, KS 66606-0000 |
| Ryan James Tomlins | Sports Medicine | Cotton Oneil Clinic Revocable Trust | 2660 Sw 3rd St, Topeka, KS 66606-0000 |
| Kerry Lynne Smalley | Physical Therapy | Cotton Oneil Clinic Revocable Trust | 2660 Sw 3rd St, Topeka, KS 66606-0000 |
| Andrew J Replogle | Physical Therapy | Cotton Oneil Clinic Revocable Trust | 2660 Sw 3rd St, Topeka, KS 66606-0000 |
| Chia-hsun Tsai | Anesthesiology | Cotton Oneil Clinic Revocable Trust | 2660 Sw 3rd St, Topeka, KS 66606-0000 |
| Find all physicians in zip 66606 | |||
| City | TOPEKA |
| Zip Code | 66606 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | TOPEKA + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Balaji S Datti.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.