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STANLEY BIALOWAS MD
NPI 1063518744
Internal Medicine in Chicago, IL

Active since September 16, 2006PECOS Enrolled
72.99/100
CMS Quality Rating
3902 W DIVERSEY AVE, CHICAGO, IL 60647(773) 772-5610(773) 278-4211 Get Directions Write a Review

NPPES record last updated: August 28, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stanley Bialowas Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STANLEY BIALOWAS MD (NPI 1063518744) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (036071723) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Community First Medical Center, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1063518744
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSTANLEY BIALOWASCredential: MD
Location Address3902 W DIVERSEY AVEChicago, IL 60647-1021
Mailing Address3902 W Diversey AveChicago, IL 60647-1021 · (773) 772-5610 · Fax (773) 278-4211
Phone(773) 772-5610
Fax(773) 278-4211
Sole ProprietorYes
Medical School CMSOtherGraduated 1979
Enumeration DateSeptember 16, 2006
Last NPPES UpdateAugust 28, 2015
✔ NPI 1063518744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036071723
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 036071723 (IL)
3902 W DIVERSEY AVE, Chicago, IL 60647
Open in Google Maps ↗

Other Identifiers 4

Other0031601918Bcbs Il
Medicare ID-Type Unspecified754350
Medicare UPIND16088
Medicaid036071723IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stanley Bialowas Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719173533
PECOS Enrollment IDI20101118001324
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
68 services29 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
50 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Community First Medical Center

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number140251
Location5645 W Addison StreetChicago, IL 60634 · Cook County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60647 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

72.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.36
Promoting Interoperability82
Improvement Activities40
Cost22.28

Reported Quality Measures

Documentation of Current Medications in the Medical Record
15%41 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers21 claims58 services$6.03 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers22 claims22 services$33.28 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier18 claims18 services$14.87 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
2 suppliers12 claims12 services$36.80 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers21 claims23 services$67.34 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
5 suppliers36 claims36 services$24.69 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STANLEY BALOWAS M.D.
Clinic/Center (Primary Care)
3902 W DIVERSEY AVE
CHICAGO, IL 60647
Cook County (773) 283-7535
AURORA NUCLEAR MEDICINE SERVICE LTD
Radiology (Diagnostic Radiology)
3902 W DIVERSEY AVE
CHICAGO, IL 60647
Cook County (773) 216-5846

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stanley Bialowas's NPI number?

The NPI number for Stanley Bialowas is 1063518744. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Stanley Bialowas located?

Stanley Bialowas practices at 3902 W Diversey Ave, Chicago, IL 60647. The listed phone number is (773) 772-5610.

What is Stanley Bialowas's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Stanley Bialowas enrolled in Medicare?

Yes. Stanley Bialowas is registered in the Medicare PECOS enrollment system.

Is Stanley Bialowas affiliated with any hospitals?

According to CMS data, Stanley Bialowas is affiliated with Community First Medical Center.

When was this NPI record last updated?

The NPPES record for Stanley Bialowas was last updated on August 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.