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BLOOMINGDALE FAMILY PRACTICE S.C
NPI 1942482146
Family Medicine in Bloomingdale, IL

Active since November 29, 2007CLIA 14D0868378 · Microscopy
245 S GARY AVE STE 204, BLOOMINGDALE, IL 60108(630) 894-7505(630) 894-6552 Get Directions Write a Review

NPPES record last updated: March 17, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bloomingdale Family Practice S.c NPPES

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

BLOOMINGDALE FAMILY PRACTICE S.C (NPI 1942482146) is a healthcare organization registered as a family medicine in Bloomingdale, Illinois and active in the NPI registry since November 2007. The organization holds a CLIA Microscopy certificate valid through June 12, 2027 and lists Mary Bizios, Physician, as its authorized official.

NPPES Registry Identity

NPI1942482146
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBLOOMINGDALE FAMILY PRACTICE S.C
Location Address245 S GARY AVE STE 204Bloomingdale, IL 60108-2218
Mailing Address245 S Gary Ave Ste 204Bloomingdale, IL 60108-2218 · (630) 894-7505 · Fax (630) 894-6552
Phone(630) 894-7505
Fax(630) 894-6552
Organization SubpartNo
Authorized OfficialMary BiziosPhysician · (630) 894-7505
Enumeration DateNovember 29, 2007
Last NPPES UpdateMarch 17, 2008
✔ NPI 1942482146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
245 S GARY AVE STE 204, Bloomingdale, IL 60108
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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 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)

Bloomingdale Family Practice S.c 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 Bloomingdale Family Practice S.C, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mary Bizios, DO
Family Practice
NPI 1437209178
245 S GARY AVE #204
Bloomingdale, IL 60108
(630) 894-7505
✔ PECOS✔ Accepts Medicare5.3 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D0868378

Bloomingdale Family Practice S C · Bloomingdale, IL
Active · expires Jun 12, 2027
CLIA Number14D0868378
Laboratory TypePhysician Office
Certificate Effective DateJune 13, 2025
Certificate Expiration DateJune 12, 2027
Laboratory DirectorMary Bizios
Laboratory Phone(630) 894-7505
Laboratory LocationBloomingdale Family Practice S C129 Fairfield Way, Ste 218, Bloomingdale, IL 60108
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Bloomingdale Family Practice S.C's NPI number?

The NPI number for Bloomingdale Family Practice S.C is 1942482146. It was assigned to this organization in the NPPES registry on November 29, 2007.

Where is Bloomingdale Family Practice S.C located?

Bloomingdale Family Practice S.C is located at 245 S Gary Ave Ste 204, Bloomingdale, IL 60108. The listed phone number is (630) 894-7505.

What is Bloomingdale Family Practice S.C's specialty?

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

Is Bloomingdale Family Practice S.C enrolled in Medicare?

Yes. Bloomingdale Family Practice S.C is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bloomingdale Family Practice S.C?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Bloomingdale Family Practice S.C. 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.

Does Bloomingdale Family Practice S.C hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D0868378) is associated with this NPI, valid through June 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bloomingdale Family Practice S.C was last updated on March 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.