DR. NAVJYOT KAUR BHOGAL MD
NPI 1396973103
Internal Medicine - Nephrology in Elmhurst, IL

Active since June 30, 2009PECOS EnrolledAccepts Medicare Assignment
133 E BRUSH HILL RD STE 310, ELMHURST, IL 60126(331) 221-9003(331) 221-2743 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 28, 2025, Oct 28, 2016 (2 updates tracked since 2016).

About Dr. Navjyot Kaur Bhogal Md NPPES

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

DR. NAVJYOT KAUR BHOGAL MD (NPI 1396973103) is an individual nephrology provider in Elmhurst, Illinois, licensed in Illinois (036130735) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Elmhurst Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1396973103
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDR. NAVJYOT KAUR BHOGALCredential: MD
Location Address133 E BRUSH HILL RD STE 310Elmhurst, IL 60126-5662
Mailing Address2650 Ridge Ave Ste 1223Evanston, IL 60201-1700 · (847) 570-2040
Fax(331) 221-2743
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 2009
Enumeration DateJune 30, 2009
Last NPPES UpdateMay 28, 20252 updates tracked since enumeration
NPPES CertifiedMay 28, 2025
NPI 1396973103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses Licensed in IL · 036130735 Licensed in IN · 01075494
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.

133 E BRUSH HILL RD STE 310, Elmhurst, IL 60126

Secondary Practice Locations 2

Location 1801 MacArthur Blvd, Suite 400AMunster, IN 46321-2915 · Phone (219) 931-5227 · Fax (219) 932-8455
Location 2133 E Brush Hill Rd Unit 301Elmhurst, IL 60126-5661 · Phone (630) 832-2183 · Fax (630) 832-2184

Other Identifiers 1

Medicaid201145180IN

Accepted 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. Navjyot Kaur Bhogal 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 ID7315199791
PECOS Enrollment IDI20121211000278, I20150818005500
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 7

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 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.
659 services182 patients
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.
586 services126 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.
126 services107 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.
93 services52 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.
43 services20 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.
37 services18 patients

Hospital Affiliations CMS Care Compare 4

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

Elmhurst Memorial Hospital

Acute Care Hospitals · Elmhurst, IL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number140200
Location155 East Brush Hill RoadElmhurst, IL 60126 · Du Page County
Emergency services Birthing friendly

Methodist Hospitals Inc

Acute Care Hospitals · Gary, IN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150002
Location600 Grant StGary, IN 46402 · Lake County
Emergency services Birthing friendly

St Mary Medical Center Inc

Acute Care Hospitals · Hobart, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150034
Location1500 S Lake Park AveHobart, IN 46342 · Lake County
Emergency services Birthing friendly

Franciscan Health Crown Point

Acute Care Hospitals · Crown Point, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150126
Location12750 Saint Francis DriveCrown Point, IN 46307 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60126 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%183 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
86%88 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
1%121 patients1/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
26%46 patients2/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
28%87 patients2/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
13%114 patients1/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 96% · 51 patients
96%51 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
64%121 patients3/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 47 patients
0%47 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

Physician Assistant
133 E BRUSH HILL RD STE 310
ELMHURST, IL 60126
Nurse Practitioner
133 E BRUSH HILL RD STE 310
ELMHURST, IL 60126
Internal Medicine (Pulmonary Disease)
133 E BRUSH HILL RD STE 310
ELMHURST, IL 60126
Internal Medicine (Endocrinology, Diabetes & Metabolism)
133 E BRUSH HILL RD STE 310
ELMHURST, IL 60126
Nurse Practitioner
133 E BRUSH HILL RD STE 310
ELMHURST, IL 60126
Internal Medicine (Pulmonary Disease)
133 E BRUSH HILL RD STE 310
ELMHURST, IL 60126
Internal Medicine (Gastroenterology)
133 E BRUSH HILL RD STE 310
ELMHURST, IL 60126
Internal Medicine (Gastroenterology)
133 E BRUSH HILL RD STE 310
ELMHURST, IL 60126

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 Navjyot Bhogal's NPI number?

The NPI number for Navjyot Bhogal is 1396973103. It was assigned to this individual provider in the NPPES registry on June 30, 2009.

Where is Navjyot Bhogal located?

Navjyot Bhogal practices at 133 E Brush Hill Rd Ste 310, Elmhurst, IL 60126. The listed phone number is (331) 221-9003.

What is Navjyot Bhogal's specialty?

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

Is Navjyot Bhogal enrolled in Medicare?

Yes. Navjyot Bhogal 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 Navjyot Bhogal accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Navjyot Bhogal 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 Navjyot Bhogal affiliated with any hospitals?

According to CMS data, Navjyot Bhogal is affiliated with Elmhurst Memorial Hospital, Methodist Hospitals Inc, St Mary Medical Center Inc and Franciscan Health Crown Point.

When was this NPI record last updated?

The NPPES record for Navjyot Bhogal was last updated on May 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.