DR. GOPAL N BHALALA MD
NPI 1669473963
Internal Medicine in Zion, IL
About Dr. Gopal N Bhalala Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GOPAL N BHALALA MD (NPI 1669473963) is an individual internal medicine provider in Zion, Illinois and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Vista Medical Center East, and is a graduate of Other (1978).
NPPES Registry Identity
Specialties & Licenses
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.
Other Identifiers 2
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. Gopal N Bhalala 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.
Areas of Expertise CMS Part B claims 13
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Vista Medical Center East
Acute Care Hospitals · Waukegan, ILMidwestern Region Med Center, Inc
Acute Care Hospitals · Zion, ILFroedtert South Inc.
Acute Care Hospitals · Pleasant Prairie, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60099 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 10
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Bhalala's NPI number?
The NPI number for Gopal Bhalala is 1669473963. It was assigned to this individual provider in the NPPES registry on August 9, 2005.
Where is Gopal Bhalala located?
Gopal Bhalala practices at 2024 Lewis Ave, Zion, IL 60099. The listed phone number is (847) 872-3000.
What is Gopal Bhalala's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Gopal Bhalala enrolled in Medicare?
Yes. Gopal Bhalala 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 Gopal Bhalala accept?
Health plans from UnitedHealthcare list Gopal Bhalala 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 Gopal Bhalala affiliated with any hospitals?
According to CMS data, Gopal Bhalala is affiliated with Vista Medical Center East, Midwestern Region Med Center, Inc and Froedtert South Inc..
When was this NPI record last updated?
The NPPES record for Gopal Bhalala was last updated on September 10, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.
