Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bala Sundara Raju Ponnam, MD

Individual provider Internal Medicine Physician · NPI 1477890614

Bala Sundara Raju Ponnam, MD is a Hospitalist in Arlington, Texas. Qualified in 2004, 22 years ago. Practices with Hospitalist Medicine Physicians of Texas PLLC, a 701-clinician group and accepts Medicare assignment. Licensed in Michigan and Texas.

Years since qualifying
22
Licensed in
MI, TX
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

800 W Randol Mill Rd Ste 2300
Arlington, TX 76012-2504
Phone: (817) 960-6648
Fax: (817) 960-6649
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence R1617 (TX)
Internal Medicine Physician Taxonomy 207R00000X · Licence 5315060922 (MI)

Record details

NPI number1477890614
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 8, 2013
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Hospitalist Medicine Physicians Of Texas Pllc — 701 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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