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DR. NEEL GOPAL BHALALA M.D.
NPI 1992118624
Family Medicine in Zion, IL

Active since June 10, 2014PECOS EnrolledAccepts Medicare Assignment
2024 LEWIS AVE, ZION, IL 60099(847) 872-5911(847) 872-7202 Get Directions Write a Review

NPPES record last updated: November 29, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Neel Gopal Bhalala M.d. NPPES

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

DR. NEEL GOPAL BHALALA M.D. (NPI 1992118624) is an individual family medicine provider in Zion, Illinois, licensed in Illinois (036.147760) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Vista Medical Center East, and maintains a secondary practice location in Cedar Rapids.

NPPES Registry Identity

NPI1992118624
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NEEL GOPAL BHALALACredential: M.D.
Location Address2024 LEWIS AVEZion, IL 60099-1546
Mailing Address2024 Lewis AveZion, IL 60099-1546 · (847) 872-5911 · Fax (847) 872-7202
Phone(847) 872-5911
Fax(847) 872-7202
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJune 10, 2014
Last NPPES UpdateNovember 29, 2018
✔ NPI 1992118624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IL · 036.147760✔ Licensed in IA · R-09912
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.
2024 LEWIS AVE, Zion, IL 60099
Open in Google Maps ↗

Secondary Practice Location 1

Location 11201 3rd Ave SECedar Rapids, IA 52403-4009 · Phone (319) 730-7300 · Fax (319) 730-7368

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Neel Gopal Bhalala M.d. 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 ID4082839923
PECOS Enrollment IDI20211214001477
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.

Areas of Expertise CMS Part B claims 5

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.

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.
88 services26 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
53 services32 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
28 services19 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
12 services12 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Vista Medical Center East

Acute Care Hospitals · Waukegan, IL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number140084
Location1324 North Sheridan RoadWaukegan, IL 60085 · Lake County
Emergency services Birthing friendly

Advocate Condell Medical Center

Acute Care Hospitals · Libertyville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140202
Location801 S Milwaukee AveLibertyville, IL 60048 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60099 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

Other Providers at the Same Location NPPES 2

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

GOPAL N. BHALALA, M.D..LLC
Clinic/Center (Primary Care)
2024 LEWIS AVE
ZION, IL 60099
Lake County (847) 872-5911
DR. GOPAL N BHALALA MD
Internal Medicine
2024 LEWIS AVE
ZION, IL 60099
Lake County (847) 872-3000

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 Neel Bhalala's NPI number?

The NPI number for Neel Bhalala is 1992118624. It was assigned to this individual provider in the NPPES registry on June 10, 2014.

Where is Neel Bhalala located?

Neel Bhalala practices at 2024 Lewis Ave, Zion, IL 60099. The listed phone number is (847) 872-5911.

What is Neel Bhalala's specialty?

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

Is Neel Bhalala enrolled in Medicare?

Yes. Neel Bhalala 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.

What insurance does Neel Bhalala accept?

Health plans from UnitedHealthcare list Neel Bhalala 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 Neel Bhalala affiliated with any hospitals?

According to CMS data, Neel Bhalala is affiliated with Vista Medical Center East and Advocate Condell Medical Center.

When was this NPI record last updated?

The NPPES record for Neel Bhalala was last updated on November 29, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.