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CENTER FOR ADULT HEALTHCARE SC
NPI 1477708204
Internal Medicine in Bloomingdale, IL

Active since November 20, 2008CLIA 14D0998991 · Waiver
303 E ARMY TRAIL RD, SUITE 301, BLOOMINGDALE, IL 60108(630) 893-0347(630) 893-1467 Get Directions Write a Review

NPPES record last updated: June 13, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Center For Adult Healthcare Sc NPPES

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

CENTER FOR ADULT HEALTHCARE SC (NPI 1477708204) is a healthcare organization registered as an internal medicine in Bloomingdale, Illinois and active in the NPI registry since November 2008. The organization holds a CLIA Waiver certificate valid through April 30, 2028 and lists Mandeep S Kohli, President, as its authorized official.

NPPES Registry Identity

NPI1477708204
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTER FOR ADULT HEALTHCARE SC
Location Address303 E ARMY TRAIL RD, SUITE 301Bloomingdale, IL 60108-2169
Mailing AddressPo Box 6365Bloomingdale, IL 60108-6365 · (630) 893-0347 · Fax (630) 893-1467
Phone(630) 893-0347
Fax(630) 893-1467
Organization SubpartNo
Authorized OfficialMandeep S KohliPresident · (630) 893-0347
Enumeration DateNovember 20, 2008
Last NPPES UpdateJune 13, 2019
✔ NPI 1477708204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
303 E ARMY TRAIL RD, Bloomingdale, IL 60108
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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, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Center For Adult Healthcare Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIllinoisEnrollment IDO20090122000443Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Center For Adult Healthcare Sc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Mandeep Kohli, D.O
Internal Medicine
NPI 1447286497
303 E ARMY TRAIL RD STE 301
Bloomingdale, IL 60108
(630) 893-0347
✔ PECOS✔ Accepts MedicareSame address
Sunil Matiwala, M.D.
Internal Medicine
NPI 1174555601
303 E ARMY TRAIL RD SUITE 301
Bloomingdale, IL 60108
(630) 893-0347
✔ PECOS✔ Accepts Medicare0.1 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 14D0998991

Center For Adult Healthcare S C · Bloomingdale, IL
Active · expires Apr 30, 2028
CLIA Number14D0998991
Laboratory TypePhysician Office
Certificate Effective DateMay 1, 2026
Certificate Expiration DateApril 30, 2028
Laboratory DirectorMandeep S. Kohli
Laboratory Phone(630) 893-0347
Laboratory LocationCenter For Adult Healthcare S C303 East Army Trail Rd, Suite 301, Bloomingdale, IL 60108
CLIA data matches this NPI record on: Address 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 Center For Adult Healthcare Sc's NPI number?

The NPI number for Center For Adult Healthcare Sc is 1477708204. It was assigned to this organization in the NPPES registry on November 20, 2008.

Where is Center For Adult Healthcare Sc located?

Center For Adult Healthcare Sc is located at 303 E Army Trail Rd Suite 301, Bloomingdale, IL 60108. The listed phone number is (630) 893-0347.

What is Center For Adult Healthcare Sc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Center For Adult Healthcare Sc enrolled in Medicare?

Yes. Center For Adult Healthcare Sc is registered in the Medicare PECOS enrollment system.

When is Center For Adult Healthcare Sc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Illinois, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Center For Adult Healthcare Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Center For Adult Healthcare Sc. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Center For Adult Healthcare Sc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0998991) is associated with this NPI, valid through April 30, 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 Center For Adult Healthcare Sc was last updated on June 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.