DR. ANUJ BEHAL MD
NPI 1699053637
Internal Medicine - Pulmonary Disease in Chicago, IL

Active since July 25, 2011PECOS EnrolledAccepts Medicare Assignment
80.83/100
CMS Quality Rating
1500 S FAIRFIELD AVE, CHICAGO, IL 60608(773) 542-2000 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 21, 2022, Mar 11, 2019, Apr 1, 2017 (3 updates tracked since 2017).

About Dr. Anuj Behal Md NPPES

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

DR. ANUJ BEHAL MD (NPI 1699053637) is an individual pulmonary disease provider in Chicago, Illinois, licensed in Illinois (036.137928) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Mt Sinai Hospital Medical Center, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2011).

NPPES Registry Identity

NPI1699053637
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. ANUJ BEHALCredential: MD
Location Address1500 S FAIRFIELD AVEChicago, IL 60608-1782
Mailing Address1500 S Fairfield AveChicago, IL 60608-1782 · (773) 542-2000
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2011
Enumeration DateJuly 25, 2011
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1699053637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in IL · 036.137928
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036.137928 (IL)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 036.137928 (IL)
1500 S FAIRFIELD AVE, Chicago, IL 60608

Accepted Insurance

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

Dr. Anuj Behal 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 ID2769782853
PECOS Enrollment IDI20151120002125
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

5

Medicare enrollment records show Anuj Behal reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
2720 W 15TH ST
Chicago, IL 60608
  • Reassigned Medicare billing, Illinois enrollment
  • 646 clinicians in this Medicare group
Pulmonary Disease
2525 S MICHIGAN AVE
Chicago, IL 60616
  • Reassigned Medicare billing, Illinois enrollment
  • 9 clinicians in this Medicare group
Physical Medicine & Rehabilitation
401 N MICHIGAN AVENUE
Chicago, IL 60611
  • Reassigned Medicare billing, Illinois enrollment
  • 94 clinicians in this Medicare group
Physical Medicine & Rehabilitation
401 N MICHIGAN AVE STE 1200
Chicago, IL 60611
  • Reassigned Medicare billing, Illinois enrollment
  • 59 clinicians in this Medicare group
Hospitalist
4058 W MELROSE ST
Chicago, IL 60641
  • Reassigned Medicare billing, Illinois enrollment
  • 122 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 9

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
227 services77 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
145 services98 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
86 services75 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
37 services30 patients
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.
31 services21 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
26 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Mt Sinai Hospital Medical Center

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140018
Location1500 S Fairfield AveChicago, IL 60608 · Cook County
Emergency services Birthing friendly

Holy Cross Hospital

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140133
Location2701 W 68th StreetChicago, IL 60629 · Cook County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60608 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
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.

80.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.96
Promoting Interoperability72
Improvement Activities40
Cost63.15

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.

Pharmacist
1500 S FAIRFIELD AVE
CHICAGO, IL 60608
Pharmacist
1500 S FAIRFIELD AVE
CHICAGO, IL 60608
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1500 S FAIRFIELD AVE
CHICAGO, IL 60608
Nurse Practitioner (Family)
1500 S FAIRFIELD AVE
CHICAGO, IL 60608
Obstetrics & Gynecology
1500 S FAIRFIELD AVE
CHICAGO, IL 60608
Surgery
1500 S FAIRFIELD AVE
CHICAGO, IL 60608
Internal Medicine
1500 S FAIRFIELD AVE
CHICAGO, IL 60608
Student in an Organized Health Care Education/Training Program
1500 S FAIRFIELD AVE
CHICAGO, IL 60608

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 Anuj Behal's NPI number?

The NPI number for Anuj Behal is 1699053637. It was assigned to this individual provider in the NPPES registry on July 25, 2011.

Where is Anuj Behal located?

Anuj Behal practices at 1500 S Fairfield Ave, Chicago, IL 60608. The listed phone number is (773) 542-2000.

What is Anuj Behal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Anuj Behal enrolled in Medicare?

Yes. Anuj Behal 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 Anuj Behal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anuj Behal reassigns Medicare benefits to 5 organizations: Mount Sinai Community Foundation (Chicago, IL), Najjar Medical Ltd (Chicago, IL), Integrated Rehab Consultants LLC (Chicago, IL), Radial Health Sc (Chicago, IL) and Knd Development 59 LLC (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 Anuj Behal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anuj Behal accept?

Health plans from Ambetter Health and Oscar Health list Anuj Behal 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 Anuj Behal affiliated with any hospitals?

According to CMS data, Anuj Behal is affiliated with Mt Sinai Hospital Medical Center and Holy Cross Hospital.

When was this NPI record last updated?

The NPPES record for Anuj Behal 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.