DR. GAUTAM K BHANUSHALI MD
NPI 1073829990
Internal Medicine - Nephrology in Chicago, IL

Q: What is Gautam Bhanushali's NPI number?

The NPI number for Gautam Bhanushali is 1073829990. It was assigned to this individual provider in the NPPES registry on August 30, 2010.

Q: What is Gautam Bhanushali's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Gautam Bhanushali was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

Active since August 30, 2010PECOS EnrolledAccepts Medicare Assignment

2701 W 68TH STREET, PROFESSIONAL PAVILION 4 SOUTH, CHICAGO, IL 60629(773) 735-4884 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 4, 2025, Feb 2, 2023, Dec 16, 2021 and 1 more (4 updates tracked since 2020).

On this page

About Dr. Gautam K Bhanushali Md NPPES

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

DR. GAUTAM K BHANUSHALI MD (NPI 1073829990) is an individual nephrology provider in Chicago, Illinois, licensed in Illinois (036132193) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS, is affiliated with St Bernard Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1073829990

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. GAUTAM K BHANUSHALICredential: MD

Location Address2701 W 68TH STREET, PROFESSIONAL PAVILION 4 SOUTHChicago, IL 60629

Mailing Address120 W 22nd St Ste 200Oak Brook, IL 60523-1563 · (630) 573-5000

Phone(773) 735-4884

Sole ProprietorYes

Medical School CMSOtherGraduated 2003

Enumeration DateAugust 30, 2010

Last NPPES UpdateAugust 4, 20254 updates tracked since enumeration

NPPES CertifiedAugust 4, 2025

✔ NPI 1073829990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in IL · 036132193

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

2701 W 68TH STREET, Chicago, IL 60629

Open in Google Maps ↗

Secondary Practice Locations 3

Location 16307 S Stewart Ave # 210Chicago, IL 60621-3116 · Phone (773) 483-2200 · Fax (773) 483-2201

Location 22055 W Army Trail Rd Ste 110EAddison, IL 60101-1478 · Phone (773) 284-9247 · Fax (773) 284-9249

Location 32850 W 95th St Ste 300Evergreen Park, IL 60805-2741 · Phone (773) 483-2200 · Fax (773) 483-2201

Other Identifiers 1

Other922820024IL · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Gautam K Bhanushali Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951548601

PECOS Enrollment IDI20130717000799

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 15

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

300 services116 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

115 services21 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

96 services45 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

76 services37 patients

Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist 36902

This procedure involves inserting a needle or tube into your hemodialysis circuit, a system that cleans your blood when your kidneys can't. A balloon is then used to widen a narrow section of this circuit. A radiologist reviews the procedure to ensure accuracy.

66 services53 patients

Home dialysis services per month (20 years or older) 90966

Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.

48 services16 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

45 services44 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

42 services42 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

32 services11 patients

Insertion of tube into chest or arm artery, each first order branch 36215

This procedure involves placing a thin tube into a chest or arm artery. It is done to monitor blood pressure, take blood samples, or deliver medications. The tube may also be inserted into each first order branch, which are the initial divisions of the main artery.

14 services11 patients

Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube 36905

This procedure involves eliminating a blood clot in your hemodialysis circuit, ensuring smooth blood flow. A balloon tube is used to widen the dialysis segment if needed. Images are taken and reviewed by a radiologist to confirm successful completion.

14 services11 patients

Review by radiologist of arm or leg artery image 75710

This procedure involves a radiologist examining images of your arm or leg arteries. These images are obtained through a non-invasive method, like an ultrasound or CT scan. The radiologist reviews these images to identify any abnormalities, such as blockages or narrowing, which can affect blood flow.

14 services12 patients

Fluoroscopic guidance for insertion or removal of central vein access device 77001

Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.

13 services11 patients

Removal of tunneled central venous tube 36589

A tunneled central venous tube removal is a procedure to take out a long, thin tube that was previously placed in a large vein in your body. This tube helps deliver medication or nutrition. The removal is usually quick and done under local anesthesia.

12 services12 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

St Bernard Hospital

Acute Care Hospitals · Chicago, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140103

Location326 W 64th StChicago, IL 60621 · Cook County

Emergency services

Holy Cross Hospital

Acute Care Hospitals · Chicago, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140133

Location2701 W 68th StreetChicago, IL 60629 · Cook County

Emergency services

Jackson Park Hospital

Acute Care Hospitals · Chicago, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number140177

Location7531 S Stony Island AveChicago, IL 60649 · Cook County

Emergency services

Osf Little Company Of Mary Medical Center

Acute Care Hospitals · Evergreen Park, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140179

Location2800 W 95th StEvergreen Park, IL 60805 · Cook County

Emergency services Birthing friendly

South Shore Hospital

Acute Care Hospitals · Chicago, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number140181

Location8012 South Crandon AvenueChicago, IL 60617 · Cook County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60629 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.

Leave this field empty

Other Providers at the Same Location NPPES 3

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

DR. WADAH ATASSI MD

Internal Medicine (Nephrology)

2701 W 68TH STREET, PROFESSIONAL PAVILION 4 SOUTH
CHICAGO, IL 60629

Cook County (773) 735-4884

MARLENE KRUPA PSY.D.

Psychologist (Clinical)

2701 W 68TH STREET
CHICAGO, IL 60629

Cook County (708) 991-9002

DR. MARK JORDAN PSY.D.

Psychologist (Clinical)

2701 W 68TH STREET
CHICAGO, IL 60629

Cook County (708) 991-9002

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 Gautam Bhanushali's NPI number?

The NPI number for Gautam Bhanushali is 1073829990. It was assigned to this individual provider in the NPPES registry on August 30, 2010.

Where is Gautam Bhanushali located?

Gautam Bhanushali practices at 2701 W 68th Street Professional Pavilion 4 South, Chicago, IL 60629. The listed phone number is (773) 735-4884.

What is Gautam Bhanushali's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Gautam Bhanushali enrolled in Medicare?

Yes. Gautam Bhanushali is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Gautam Bhanushali accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Gautam Bhanushali as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Gautam Bhanushali affiliated with any hospitals?

According to CMS data, Gautam Bhanushali is affiliated with St Bernard Hospital, Holy Cross Hospital, Jackson Park Hospital, Osf Little Company Of Mary Medical Center and South Shore Hospital.

When was this NPI record last updated?

The NPPES record for Gautam Bhanushali was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.