Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. SHERRIFF ALLI-BALOGUN M.D.
NPI 1114058617
Internal Medicine in Matteson, IL

Active since March 08, 2007PECOS Enrolled
98.41/100
CMS Quality Rating
4747 LINCOLN MALL DR STE 100, MATTESON, IL 60443(708) 747-8006(708) 747-8272 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 15, 2026, Nov 13, 2015 (2 updates tracked since 2015).

About Dr. Sherriff Alli-balogun M.d. NPPES

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

DR. SHERRIFF ALLI-BALOGUN M.D. (NPI 1114058617) is an individual internal medicine provider in Matteson, Illinois, licensed in Indiana (01051719) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Wayne.

NPPES Registry Identity

NPI1114058617
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SHERRIFF ALLI-BALOGUNCredential: M.D.
Location Address4747 LINCOLN MALL DR STE 100Matteson, IL 60443-3812
Mailing Address4747 Lincoln Mall Dr Ste 100Matteson, IL 60443-3812 · (708) 747-8006 · Fax (708) 747-8272
Fax(708) 747-8272
Sole ProprietorNo
Enumeration DateMarch 8, 2007
Last NPPES UpdateJuly 15, 20262 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
NPI 1114058617 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 IN · 01051719
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 ListedEmergency MedicineTaxonomy 207P00000X · License 01051719 (IN)
4747 LINCOLN MALL DR STE 100, Matteson, IL 60443

Secondary Practice Location 1

Location 1608 Chapel RDFort Wayne, IN 46845 · Phone (260) 482-5091 · Fax (260) 482-4442

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Sherriff Alli-balogun M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60443 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.

98.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.99
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

Clinic/Center
4747 LINCOLN MALL DR STE 100
MATTESON, IL 60443

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 Sherriff Alli-balogun's NPI number?

The NPI number for Sherriff Alli-balogun is 1114058617. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Where is Sherriff Alli-balogun located?

Sherriff Alli-balogun practices at 4747 Lincoln Mall Dr Ste 100, Matteson, IL 60443. The listed phone number is (708) 747-8006.

What is Sherriff Alli-balogun's specialty?

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

Is Sherriff Alli-balogun enrolled in Medicare?

Yes. Sherriff Alli-balogun is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sherriff Alli-balogun was last updated on July 15, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.