HEALTHONE MEDICAL CENTER INC
NPI 1316778756
Nurse Practitioner - Family in Bloomingdale, IL

Active since August 08, 2024CLIA 14D2326675 · Waiver
398 W ARMY TRAIL RD STE 118, BLOOMINGDALE, IL 60108(630) 380-3100(630) 380-3099 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 8, 2025, Jul 2, 2025, Jun 24, 2025 and 2 more (5 updates tracked since 2024).

About Healthone Medical Center Inc NPPES

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

HEALTHONE MEDICAL CENTER INC (NPI 1316778756) is a healthcare organization registered as a family in Bloomingdale, Illinois and active in the NPI registry since August 2024. The organization holds a CLIA Waiver certificate valid through July 7, 2027 and lists Sanjana Thakkar, Owner, as its authorized official.

NPPES Registry Identity

NPI1316778756
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameHEALTHONE MEDICAL CENTER INC
Location Address398 W ARMY TRAIL RD STE 118Bloomingdale, IL 60108-2398
Mailing Address398 W Army Trail Rd Ste 118Bloomingdale, IL 60108-2398 · (630) 380-3100 · Fax (630) 380-3099
Fax(630) 380-3099
Organization SubpartNo
Authorized OfficialSanjana ThakkarOwner · (630) 380-3100
Enumeration DateAugust 8, 2024
Last NPPES UpdateJuly 29, 20255 updates tracked since enumeration
NPPES CertifiedJuly 29, 2025
✔ NPI 1316778756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
398 W ARMY TRAIL RD STE 118, Bloomingdale, IL 60108

Other Names 1

Doing Business AsHealthone Medical Center Inc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Healthone Medical Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Healthone Medical Center Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1750449880
4647 W 103RD ST SUITE 2L
Oak Lawn, IL 60453
(708) 952-0200
✔ PECOS✔ Accepts Medicare23 mi

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 14D2326675

Healthone Medical Center · Bloomingdale, IL
Active · expires Jul 7, 2027
CLIA Number14D2326675
Laboratory TypePrison
Certificate Effective DateJuly 8, 2025
Certificate Expiration DateJuly 7, 2027
Laboratory DirectorSatinder Dalawari
Laboratory Phone(630) 380-3100
Laboratory LocationHealthone Medical Center398 W Army Trail Rd - Unit 118, Bloomingdale, IL 60108
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Healthone Medical Center Inc's NPI number?

The NPI number for Healthone Medical Center Inc is 1316778756. It was assigned to this organization in the NPPES registry on August 8, 2024.

Where is Healthone Medical Center Inc located?

Healthone Medical Center Inc is located at 398 W Army Trail Rd Ste 118, Bloomingdale, IL 60108. The listed phone number is (630) 380-3100.

What is Healthone Medical Center Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Healthone Medical Center Inc enrolled in Medicare?

Yes. Healthone Medical Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Healthone Medical Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Healthone Medical Center Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Healthone Medical Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2326675) is associated with this NPI, valid through July 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Healthone Medical Center Inc was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.