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

Robert L Bacallao, MD

Individual provider Nephrology Physician · NPI 1295792760

Robert L Bacallao, MD is a Nephrology Physician in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
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

1481 W 10th St # C3004
Indianapolis, IN 46202-2803
Phone: (317) 988-2633
Fax: (317) 968-0139
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 01044965 (IN)

Record details

NPI number1295792760
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 28, 2006
Last updated in NPPESNovember 20, 2020
Certification dateNovember 20, 2020
Mailing address250 N Shadeland Ave, Indianapolis, IN 46219-4959

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