MALCOLM M BILIMORIA MD
NPI 1548337215
Surgery in Arlington Heights, IL

Active since November 29, 2006PECOS EnrolledAccepts Medicare Assignment
89.66/100
CMS Quality Rating
880 W CENTRAL RD, SUITE 4400, ARLINGTON HEIGHTS, IL 60005(847) 483-9400(847) 483-9426 Get Directions Write a Review

NPPES record last updated: February 15, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Malcolm M Bilimoria Md NPPES

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

MALCOLM M BILIMORIA MD (NPI 1548337215) is an individual surgery provider in Arlington Heights, Illinois, licensed in Illinois (036088209) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Northwestern University Feinberg Medical School (1991).

NPPES Registry Identity

NPI1548337215
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMALCOLM M BILIMORIACredential: MD
Location Address880 W CENTRAL RD, SUITE 4400Arlington Heights, IL 60005-2355
Mailing Address880 W Central Rd, Suite 4400Arlington Heights, IL 60005-2355 · (847) 483-9400 · Fax (847) 483-9426
Fax(847) 483-9426
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1991
Enumeration DateNovember 29, 2006
Last NPPES UpdateFebruary 15, 2010
NPI 1548337215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in IL · 036088209
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
880 W CENTRAL RD, Arlington Heights, IL 60005

Other Identifiers 1

Medicare UPING76334

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

Malcolm M Bilimoria 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 ID9931185949
PECOS Enrollment IDI20050920000803
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 14

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.

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.
891 services502 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.
199 services199 patients
Ultrasonic guidance during surgery 76998
Ultrasonic guidance during surgery is a technique that uses sound waves to create real-time images of the inside of your body. This helps the surgeon navigate and perform procedures more accurately, reducing the risk of complications. It's like a GPS for your body's internal structures.
98 services98 patients
Creation of muscle graft to trunk 15734
The creation of a muscle graft to the trunk is a surgical procedure where healthy muscle tissue is moved from one part of the body to another. This helps to repair damaged areas, improve function, and enhance appearance. It's a common procedure in reconstructive surgery.
95 services95 patients
Repair of abdomen using abdominal lining graft 49905
This procedure involves repairing a damaged part of your abdomen with a graft, or patch, made from your own abdominal lining. It aims to strengthen the area and promote healing. Rest assured, it's performed by skilled surgeons.
73 services73 patients
Creation of stomach feeding tube 43832
The creation of a stomach feeding tube, also known as a gastrostomy, is a procedure where a tube is inserted directly into your stomach. This allows nutrition, fluids, and medications to be directly delivered to your stomach, bypassing the mouth and esophagus.
42 services42 patients

Hospital Affiliations CMS Care Compare 2

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

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 60005 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
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.

89.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.32
Promoting Interoperability100
Improvement Activities40

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.

Pediatrics
880 W CENTRAL RD, SUITE 6400 CHILDRENS MEMORIAL OUTPT CENTER
ARLINGTON HEIGHTS, IL 60005
Physician Assistant (Surgical)
880 W CENTRAL RD, SUITE 5000
ARLINGTON HEIGHTS, IL 60005
Anesthesiology (Pain Medicine)
880 W CENTRAL RD, SUITE 3600
ARLINGTON HEIGHTS, IL 60005
Specialist
880 W CENTRAL RD, STE 7200
ARLINGTON HEIGHTS, IL 60005
Urology
880 W CENTRAL RD, SUITE 5200
ARLINGTON HEIGHTS, IL 60005
Physician Assistant
880 W CENTRAL RD, #5000
ARLINGTON HEIGHTS, IL 60005
Anesthesiology
880 W CENTRAL RD, SUITE 3600
ARLINGTON HEIGHTS, IL 60005
Pediatrics
880 W CENTRAL RD, STE 4200
ARLINGTON HEIGHTS, IL 60005

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 Malcolm Bilimoria's NPI number?

The NPI number for Malcolm Bilimoria is 1548337215. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Malcolm Bilimoria located?

Malcolm Bilimoria practices at 880 W Central Rd Suite 4400, Arlington Heights, IL 60005. The listed phone number is (847) 483-9400.

What is Malcolm Bilimoria's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Malcolm Bilimoria enrolled in Medicare?

Yes. Malcolm Bilimoria 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 Malcolm Bilimoria accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Malcolm Bilimoria 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 Malcolm Bilimoria affiliated with any hospitals?

According to CMS data, Malcolm Bilimoria is affiliated with Northshore University Healthsystem - Evanston Hospital and Northwest Community Hospital 1.

When was this NPI record last updated?

The NPPES record for Malcolm Bilimoria was last updated on February 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.