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BHALLAMD, LLC
NPI 1710434964
Internal Medicine - Geriatric Medicine in Hillside, IL

Active since September 06, 2016
4415 HARRISON STREET, #300, HILLSIDE, IL 60162(708) 632-5600(708) 632-5602 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 11, 2023, Oct 11, 2016 (2 updates tracked since 2016).

About Bhallamd, Llc NPPES

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

BHALLAMD, LLC (NPI 1710434964) is a healthcare organization registered as a geriatric medicine in Hillside, Illinois and active in the NPI registry since September 2016. The organization lists Jake Mathew, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1710434964
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameBHALLAMD, LLC
Location Address4415 HARRISON STREET, #300Hillside, IL 60162-1953
Mailing Address4415 Harrison Street, #300Hillside, IL 60162-1953 · (708) 632-5600 · Fax (708) 632-5602
Phone(708) 632-5600
Fax(708) 632-5602
Organization SubpartNo
Authorized OfficialJake MathewBusiness Office Manager · (708) 632-5600
Enumeration DateSeptember 6, 2016
Last NPPES UpdateJuly 11, 20232 updates tracked since enumeration
NPPES CertifiedJuly 11, 2023
✔ NPI 1710434964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Also ListedInternal MedicineTaxonomy 207R00000X

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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bhallamd, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bhallamd, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Samir Bhalla, MD
Geriatric Medicine
NPI 1922365170
4415 HARRISON ST STE 300
Hillside, IL 60162
(630) 988-0152
✔ PECOS

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

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 Bhallamd, LLC's NPI number?

The NPI number for Bhallamd, LLC is 1710434964. It was assigned to this organization in the NPPES registry on September 6, 2016.

Where is Bhallamd, LLC located?

Bhallamd, LLC is located at 4415 Harrison Street, #300, Hillside, IL 60162. The listed phone number is (708) 632-5600.

What is Bhallamd, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Bhallamd, LLC enrolled in Medicare?

Yes. Bhallamd, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bhallamd, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Geriatric Medicine) reassigns their Medicare billing to Bhallamd, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bhallamd, LLC was last updated on July 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.