DR. VENKATA Y BEHARA MD
NPI 1376728113
Internal Medicine - Nephrology in Mount Prospect, IL

Q: What is Venkata Behara's NPI number?

The NPI number for Venkata Behara is 1376728113. It was assigned to this individual provider in the NPPES registry on December 28, 2007.

Q: What is Venkata Behara'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 Venkata Behara was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since December 28, 2007PECOS EnrolledAccepts Medicare Assignment

601 W GOLF RD, SUITE 105, MOUNT PROSPECT, IL 60056(847) 298-0600(847) 298-6395 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 30, 2023, Dec 14, 2021, Oct 22, 2020 and 1 more (4 updates tracked since 2019).

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About Dr. Venkata Y Behara Md NPPES

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

DR. VENKATA Y BEHARA MD (NPI 1376728113) is an individual nephrology provider in Mount Prospect, Illinois, licensed in Illinois (036113921) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of University Of Texas Medical School At San Antonio (2002).

NPPES Registry Identity

NPI1376728113

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. VENKATA Y BEHARACredential: MD

Location Address601 W GOLF RD, SUITE 105Mount Prospect, IL 60056-4276

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

Phone(847) 298-0600

Fax(847) 298-6395

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2002

Enumeration DateDecember 28, 2007

Last NPPES UpdateJanuary 30, 20234 updates tracked since enumeration

NPPES CertifiedJanuary 30, 2023

✔ NPI 1376728113 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 · 036113921

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.

601 W GOLF RD, Mount Prospect, IL 60056

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Other Identifiers 1

Other1616108IL · Bcbs Group/number

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Venkata Y Behara 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 ID2264454461

PECOS Enrollment IDI20060103000337

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.

Medicare Billing Reassignment

Medicare enrollment records show Venkata Behara reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nephrology Associates Of Northern Illinois, Ltd.

14 mi

Nephrology

120 W 22ND ST
Oak Brook, IL 60523

Reassigned Medicare billing, Illinois enrollment
161 clinicians in this Medicare group

NPI 1134319924 (630) 573-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

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.

767 services371 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.

515 services251 patients

Dialysis services, per day, less than full month service (20 years or older) 90970

Dialysis is a treatment that replicates some functions of healthy kidneys when they're not working properly. It helps to remove waste, salt, and excess water from your body and maintain a safe level of certain chemicals in your blood. This service, for patients aged 20 or older, is provided on a daily basis for less than a full month.

257 services11 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

198 services36 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.

194 services126 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.

103 services15 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.

89 services84 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.

64 services14 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.

51 services51 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

32 services30 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.

28 services28 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

28 services21 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

19 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140010

Location2650 Ridge AveEvanston, IL 60201 · Cook County

Emergency services Birthing friendly

Advocate Lutheran General Hospital

Acute Care Hospitals · Park Ridge, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140223

Location1775 Dempster StPark Ridge, IL 60068 · Cook County

Emergency services Birthing friendly

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140252

Location800 W Central RoadArlington Heights, IL 60005 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60056 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.

Referred Medical Equipment & Supplies CMS DME claims

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

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

3 suppliers17 claims17 services$12.59 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 3

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

AMERICAN PICC INSTITUTE, LLC

Clinic/Center

601 W GOLF RD, SUITE 106
MOUNT PROSPECT, IL 60056

Cook County (773) 930-4538

TINA S HAN MD

Internal Medicine (Nephrology)

601 W GOLF RD, SUITE 105
MT PROSPECT, IL 60056

Cook County (847) 439-8780

AMERICAN HOME AMBULATORY CARE CENTER,LLC

Clinic/Center

601 W GOLF RD, SUITE 106
MOUNT PROSPECT, IL 60056

Cook County (773) 930-4538

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 Venkata Behara's NPI number?

The NPI number for Venkata Behara is 1376728113. It was assigned to this individual provider in the NPPES registry on December 28, 2007.

Where is Venkata Behara located?

Venkata Behara practices at 601 W Golf Rd Suite 105, Mount Prospect, IL 60056. The listed phone number is (847) 298-0600.

What is Venkata Behara's specialty?

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

Is Venkata Behara enrolled in Medicare?

Yes. Venkata Behara 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.

Which organization bills Medicare for Venkata Behara's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Venkata Behara reassigns Medicare benefits to Nephrology Associates Of Northern Illinois, Ltd. (Oak Brook, IL). The 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 Venkata Behara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Venkata Behara accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Venkata Behara 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 Venkata Behara affiliated with any hospitals?

According to CMS data, Venkata Behara is affiliated with Northshore University Healthsystem - Evanston Hospital, Advocate Lutheran General Hospital and Northwest Community Hospital 1.

When was this NPI record last updated?

The NPPES record for Venkata Behara was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.