{"npi":"1093017253","type":"NPI-1","status":"active","name":{"display":"Kamalesh Bala M.D.","other":[],"first":"KAMALESH","last":"BALA","middle":"KUMAR","credential":"M.D."},"specialty":{"primary_taxonomy":"207RH0003X","primary_taxonomy_description":"Hematology & Oncology","slug":"hematology-oncology","schema_org_specialty":"Oncologic","all":[{"code":"207RH0003X","description":"Hematology & Oncology","primary":true,"state":"NC","license":"2019-02784"},{"code":"207RH0003X","description":"Hematology & Oncology","primary":false,"state":"IA","license":"40545"},{"code":"207RH0003X","description":"Hematology & Oncology","primary":false,"state":"SC","license":"88745"},{"code":"207RH0003X","description":"Hematology & Oncology","primary":false,"state":"WI","license":"101507"},{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":"NY","license":"P69451"},{"code":"207RH0003X","description":"Hematology & Oncology","primary":false,"state":"MT","license":"165854"},{"code":"207RH0003X","description":"Hematology & Oncology","primary":false,"state":"TN","license":"58677"},{"code":"207RH0003X","description":"Hematology & Oncology","primary":false,"state":"VA","license":"0101273972"}]},"addresses":[{"purpose":"LOCATION","street_1":"6387 RAMSEY ST UNIT 140","city":"FAYETTEVILLE","state":"NC","postal_code":"283119442","country_code":"US","phone":"9106153840","fax":"9103216216"},{"purpose":"MAILING","street_1":"1915 WHITE AVE","city":"KNOXVILLE","state":"TN","postal_code":"379162300","country_code":"US","phone":"8653311720","fax":"8653312823"}],"license":{"state":"NC","number":"2019-02784"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1093017253","state":"IA","issuer":null},{"type_code":"05","label":"Medicaid","value":"Q046659","state":"TN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20190325001729","type_code":"14-83","type_desc":"PRACTITIONER - HEMATOLOGY/ONCOLOGY","state":"TN","pac_id":"3779733977"},{"enrlmt_id":"I20200206002238","type_code":"14-83","type_desc":"PRACTITIONER - HEMATOLOGY/ONCOLOGY","state":"NC","pac_id":"3779733977"},{"enrlmt_id":"I20230727003216","type_code":"14-83","type_desc":"PRACTITIONER - HEMATOLOGY/ONCOLOGY","state":"SC","pac_id":"3779733977"},{"enrlmt_id":"I20260108002777","type_code":"14-83","type_desc":"PRACTITIONER - HEMATOLOGY/ONCOLOGY","state":"MT","pac_id":"3779733977"}]},"enumeration_date":"2010-11-21","last_updated":"2025-12-29","_meta":{"source":"NPPES","snapshot_date":"2025-12-29","doc_url":"https://findmynpi.com/api"}}