GOPAL N. BHALALA, M.D..LLC
NPI 1619404803
Clinic/Center - Primary Care in Zion, IL

Active since May 18, 2017
2024 LEWIS AVE, ZION, IL 60099(847) 872-5911(847) 872-7202 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, May 18, 2017 (2 updates tracked since 2017).

About Gopal N. Bhalala, M.d..llc NPPES

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

GOPAL N. BHALALA, M.D..LLC (NPI 1619404803) is a healthcare organization registered as a primary care in Zion, Illinois and active in the NPI registry since May 2017. The organization lists Gopal N Bhalala, Md, as its authorized official.

NPPES Registry Identity

NPI1619404803
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameGOPAL N. BHALALA, M.D..LLC
Location Address2024 LEWIS AVEZion, IL 60099-1546
Mailing Address2024 Lewis AveZion, IL 60099-1546 · (847) 872-5911 · Fax (847) 872-7202
Fax(847) 872-7202
Organization SubpartYesParent: Gopal N. Bhalala Md
Authorized OfficialGopal N BhalalaMd · (847) 872-5911
Enumeration DateMay 18, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1619404803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in IL · 036-072139
2024 LEWIS AVE, Zion, IL 60099

Other Identifiers 1

Medicaid036072139IL

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gopal N. Bhalala, M.d..llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Gopal N. Bhalala, M.D..LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1992118624
2024 LEWIS AVE
Zion, IL 60099
(847) 872-5911
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1669473963
2024 LEWIS AVE
Zion, IL 60099
(847) 872-3000
✔ PECOS✔ Accepts MedicareSame address

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 14D2048347

Gopal Bhalala M D · Zion, IL
Expired · Oct 14, 2026
CLIA Number14D2048347
Laboratory TypePhysician Office
Certificate Effective DateOctober 15, 2024
Certificate Expiration DateOctober 14, 2026
Laboratory DirectorGopal N. Bhalala
Laboratory Phone(847) 872-5911
Laboratory LocationGopal Bhalala M D2024 Lewis Ave, Zion, IL 60099
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 Gopal N. Bhalala, M.D..Llc's NPI number?

The NPI number for Gopal N. Bhalala, M.D..Llc is 1619404803. It was assigned to this organization in the NPPES registry on May 18, 2017.

Where is Gopal N. Bhalala, M.D..Llc located?

Gopal N. Bhalala, M.D..Llc is located at 2024 Lewis Ave, Zion, IL 60099. The listed phone number is (847) 872-5911.

What is Gopal N. Bhalala, M.D..Llc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Gopal N. Bhalala, M.D..Llc enrolled in Medicare?

Yes. Gopal N. Bhalala, M.D..Llc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gopal N. Bhalala, M.D..Llc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Gopal N. Bhalala, M.D..Llc, in Family Practice and Internal Medicine. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Gopal N. Bhalala, M.D..Llc was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.