MR. BHADRA DEV KOMARRAJU APRN AGNP-C
NPI 1831529296
Nurse Practitioner - Gerontology in Hillside, IL

Active since November 22, 2013PECOS Enrolled
4415 HARRISON ST, HILLSIDE, IL 60162(312) 738-3355 Get Directions Write a Review

NPPES record last updated: March 28, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 28, 2018, Mar 30, 2016 (2 updates tracked since 2016).

About Mr. Bhadra Dev Komarraju Aprn Agnp-c NPPES

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

MR. BHADRA DEV KOMARRAJU APRN AGNP-C (NPI 1831529296) is an individual gerontology provider in Hillside, Illinois, licensed in Illinois (209010785) and active in the NPI registry since November 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831529296
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NameMR. BHADRA DEV KOMARRAJUCredential: APRN AGNP-C
Location Address4415 HARRISON STHillside, IL 60162-1910
Mailing AddressPo Box 45Madison, IL 62060-0045
Sole ProprietorNo
Enumeration DateNovember 22, 2013
Last NPPES UpdateMarch 28, 20182 updates tracked since enumeration
NPI 1831529296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in IL · 209010785
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 209010785 (IL)
4415 HARRISON ST, Hillside, IL 60162

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Bhadra Dev Komarraju Aprn Agnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60162 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
$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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
89%642 patients3/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
59%120 patients3/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
97%60 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
31%210 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
10%210 patients1/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
1%210 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Health Maintenance Organization
4415 HARRISON ST, SUITE 300
HILLSIDE, IL 60162
Health Maintenance Organization
4415 HARRISON ST, SUITE 300, C-O NORTH AMERICAN MEDICAL MANAGEMENT
HILLSIDE, IL 60162
Health Maintenance Organization
4415 HARRISON ST, SUITE 300
HILLSIDE, IL 60162
Health Maintenance Organization
4415 HARRISON ST, SUITE 300
HILLSIDE, IL 60162
Health Maintenance Organization
4415 HARRISON ST, SUITE 300
HILLSIDE, IL 60162
Health Maintenance Organization
4415 HARRISON ST, 300
HILLSIDE, IL 60162
Health Maintenance Organization
4415 HARRISON ST, SUITE 300
HILLSIDE, IL 60162
Family Medicine
4415 HARRISON ST
HILLSIDE, IL 60162

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 Bhadra Komarraju's NPI number?

The NPI number for Bhadra Komarraju is 1831529296. It was assigned to this individual provider in the NPPES registry on November 22, 2013.

Where is Bhadra Komarraju located?

Bhadra Komarraju practices at 4415 Harrison St, Hillside, IL 60162. The listed phone number is (312) 738-3355.

What is Bhadra Komarraju's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Bhadra Komarraju enrolled in Medicare?

Yes. Bhadra Komarraju is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bhadra Komarraju was last updated on March 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.