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BHAVANA P VAIDYA MD
NPI 1437141108
General Practice in Chicago, IL

Active since August 18, 2005PECOS EnrolledAccepts Medicare Assignment
6307 S STEWART AVE STE 201, CHICAGO, IL 60621(773) 962-4025 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 7, 2023, Mar 22, 2018, Mar 15, 2017 (3 updates tracked since 2017).

About Bhavana P Vaidya Md NPPES

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

BHAVANA P VAIDYA MD (NPI 1437141108) is an individual general practice provider in Chicago, Illinois, licensed in Illinois (036066303) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with St Bernard Hospital, and is a graduate of Other (1978).

NPPES Registry Identity

NPI1437141108
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameBHAVANA P VAIDYACredential: MD
Location Address6307 S STEWART AVE STE 201Chicago, IL 60621-3116
Mailing Address10601 S Kilbourn AveOak Lawn, IL 60453-5341 · (708) 425-2516
Phone(773) 962-4025
Sole ProprietorYes
Medical School CMSOtherGraduated 1978
Enumeration DateAugust 18, 2005
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
✔ NPI 1437141108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in IL · 036066303
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 036066303 (IL)
6307 S STEWART AVE STE 201, Chicago, IL 60621
Open in Google Maps ↗

Other Identifiers 4

Other11871240IL · Caqh
Other711960IL · Ptan
Other316009776IL · Bc
Medicaid036066303IL

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

Bhavana P Vaidya 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 ID2264459767
PECOS Enrollment IDI20051024000964
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 Reassignments

2

Medicare enrollment records show Bhavana Vaidya reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Foundation For Outreach Services
0.1 mi
Family Medicine
326 W 64TH ST
Chicago, IL 60621
  • Reassigned Medicare billing, Illinois enrollment
  • 66 clinicians in this Medicare group
NPI 1316350242 (773) 962-4100
Foundation For Emergency Services
0.1 mi
Emergency Medicine
326 W 64TH ST
Chicago, IL 60621
  • Reassigned Medicare billing, Illinois enrollment
  • 49 clinicians in this Medicare group
NPI 1467468280 (773) 962-3900

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

Hospital Affiliations CMS Care Compare

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

St Bernard Hospital

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140103
Location326 W 64th StChicago, IL 60621 · Cook County
Emergency services

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 Bhavana Vaidya's NPI number?

The NPI number for Bhavana Vaidya is 1437141108. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Where is Bhavana Vaidya located?

Bhavana Vaidya practices at 6307 S Stewart Ave Ste 201, Chicago, IL 60621. The listed phone number is (773) 962-4025.

What is Bhavana Vaidya's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Bhavana Vaidya enrolled in Medicare?

Yes. Bhavana Vaidya 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 organizations bill Medicare for Bhavana Vaidya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bhavana Vaidya reassigns Medicare benefits to 2 organizations: Foundation For Outreach Services (Chicago, IL) and Foundation For Emergency Services (Chicago, IL). Each 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 Bhavana Vaidya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Bhavana Vaidya affiliated with any hospitals?

According to CMS data, Bhavana Vaidya is affiliated with St Bernard Hospital.

When was this NPI record last updated?

The NPPES record for Bhavana Vaidya was last updated on March 7, 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.