DR. KAVITHA BATHALA M.D.
NPI 1861415747
Family Medicine in Tinley Park, IL

Q: What is Kavitha Bathala's NPI number?

The NPI number for Kavitha Bathala is 1861415747. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Q: What is Kavitha Bathala's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kavitha Bathala was last updated on December 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since July 25, 2006PECOS Enrolled

6703 159TH ST, SUITE 110, TINLEY PARK, IL 60477(708) 444-8282 Get Directions Write a Review

NPPES record last updated: December 31, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Kavitha Bathala M.d. NPPES

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

DR. KAVITHA BATHALA M.D. (NPI 1861415747) is an individual family medicine provider in Tinley Park, Illinois, licensed in Illinois (036106265) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861415747

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. KAVITHA BATHALACredential: M.D.

Location Address6703 159TH ST, SUITE 110Tinley Park, IL 60477-1781

Mailing AddressPo Box 1119Matteson, IL 60443-4119 · (708) 747-5850 · Fax (708) 747-9991

Phone(708) 444-8282

Sole ProprietorNo

Enumeration DateJuly 25, 2006

Last NPPES UpdateDecember 31, 2012

✔ NPI 1861415747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036106265

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

6703 159TH ST, Tinley Park, IL 60477

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Other Identifiers 1

Medicare UPINH65172IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kavitha Bathala M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Kavitha Bathala reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Premise Health Of Illinois Medical PC

5.7 mi

Multi-Specialty

6195 W. 115TH ST.
Alsip, IL 60803

Reassigned Medicare billing, Illinois enrollment
66 clinicians in this Medicare group

NPI 1184362527 (312) 262-7002

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60477 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

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

100%84 patients5/55-star benchmark: 100%

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers11 claims30 services$5.26 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

DR. VIVEK KAISTHA M.D.

Internal Medicine

6703 159TH ST, 103
TINLEY PARK, IL 60477

Cook County (708) 342-3000

IBRAHIM MD SC

Internal Medicine

6703 159TH ST, SUITE 105
TINLEY PARK, IL 60477

Cook County (708) 342-1541

CHADEN SBAI MD SC

Internal Medicine

6703 159TH ST, SUITE 105
TINLEY PARK, IL 60477

Cook County (708) 444-8593

BUSHRAAH MEDICAL SERVICES SC

Internal Medicine

6703 159TH ST
TINLEY PARK, IL 60477

Cook County (708) 915-7130

TINLEY PARK PEDIATRIC ASSOCIATES SC

Pediatrics

6703 159TH ST, SUITE 115
TINLEY PARK, IL 60477

Cook County (708) 342-7032

WILLIAM PANJE MD SC

Otolaryngology (Otolaryngology/Facial Plastic Surgery)

6703 159TH ST
TINLEY PARK, IL 60477

Cook County (708) 798-6800

PHILLIP T NIGRO MD

Orthopaedic Surgery

6703 159TH ST, SUITE 109
TINLEY PARK, IL 60477

Cook County (708) 429-0907

ENDOCRINE CARE LLC

Internal Medicine (Endocrinology, Diabetes & Metabolism)

6703 159TH ST, SUITE 107
TINLEY PARK, IL 60477

Cook County (708) 532-6490

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 Kavitha Bathala's NPI number?

The NPI number for Kavitha Bathala is 1861415747. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Kavitha Bathala located?

Kavitha Bathala practices at 6703 159th St Suite 110, Tinley Park, IL 60477. The listed phone number is (708) 444-8282.

What is Kavitha Bathala's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kavitha Bathala enrolled in Medicare?

Yes. Kavitha Bathala is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kavitha Bathala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kavitha Bathala reassigns Medicare benefits to Premise Health Of Illinois Medical PC (Alsip, IL). The 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 Kavitha Bathala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kavitha Bathala was last updated on December 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.