NAPERBROOK MEDICAL CENTER
NPI 1184801706
Clinic/Center - Primary Care in Bolingbrook, IL
About Naperbrook Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NAPERBROOK MEDICAL CENTER (NPI 1184801706) is a healthcare organization registered as a primary care in Bolingbrook, Illinois and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through February 12, 2028 and lists Meher Bala Medavaram, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Naperbrook Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Naperbrook Medical Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 14D0911713
Naperbrook Medical Center · Bolingbrook, ILFrequently 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 Naperbrook Medical Center's NPI number?
The NPI number for Naperbrook Medical Center is 1184801706. It was assigned to this organization in the NPPES registry on January 25, 2008.
Where is Naperbrook Medical Center located?
Naperbrook Medical Center is located at 686 W Boughton Rd, Bolingbrook, IL 60440. The listed phone number is (630) 378-1234.
What is Naperbrook Medical Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Naperbrook Medical Center enrolled in Medicare?
Yes. Naperbrook Medical Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Naperbrook Medical Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Naperbrook Medical Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Naperbrook Medical Center hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D0911713) is associated with this NPI, valid through February 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Naperbrook Medical Center was last updated on January 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Naperbrook Medical Center · NPI 1184801706
Primary Care organization in Bolingbrook, Illinois. Organization record, active in the CMS NPPES registry since January 25, 2008.
## Identity
- **NPI:** 1184801706 (Entity type: Organization)
- **Enumerated:** January 25, 2008
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Meher Medavaram, PRESIDENT
## Practice location
- **Address:** 686 W BOUGHTON RD, Bolingbrook, IL 60440-1520
- **Phone:** (630) 378-1234 · **Fax:** (630) 378-1155
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Family Practice) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 25, 2008
- **Other identifiers:** Medicare UPIN G41052 (IL); Medicare PIN 334770 (IL); Other 09921620 (IL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1184801706) · Data from the CMS NPPES public registry.