Active NPI
Bhavna Balaney, MD
- Cardiovascular Disease Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036137323
- Practice address
- 2734 W 87TH St
Chicago, IL 60652-3937 - Phone
- (773) 918-4700
- Fax
- (872) 213-5685
- NPI assigned
- Mar 27, 2011
- Last updated
- Aug 14, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Internal Medicine Physician | 207R00000X | 036137323 | IL | |
| Cardiovascular Disease Physician | 207RC0000X | 036137323 | IL | Primary |
Addresses
Primary practice location
2734 W 87TH St
Chicago, IL 60652-3937
Mailing address
2734 W 87TH St
Chicago, IL 60652-3937
Phone (773) 918-4700
Other practice location 1
19310 S Halsted St
Glenwood, IL 60425-1562
Phone (708) 300-3132
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PMR Illinois Holding, LLC | Current | Accepting new patients |
Locations
1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760
6326 Cermak Rd
Berwyn, IL 60402
Phone (708) 303-9234
2231 E 95th St
Chicago, IL 60617
Phone (773) 768-7700
2734 W 87th St
Chicago, IL 60652
Phone (773) 918-4700
19310 S Halsted St
Glenwood, IL 60425
Phone (708) 300-3132
6101 W 95th St
Oak Lawn, IL 60453
Phone (708) 261-0831
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565740800000",
"number": "1083913255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2734 W 87TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606523937",
"telephone_number": "773-918-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2734 W 87TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606523937",
"telephone_number": "773-918-4700",
"fax_number": "872-213-5685"
}
],
"practiceLocations": [
{
"address_1": "19310 S Halsted St",
"address_purpose": "LOCATION",
"city": "Glenwood",
"state": "IL",
"postal_code": "604251562",
"country_code": "US",
"telephone_number": "708-300-3132",
"fax_number": "872-213-5687",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BALANEY",
"first_name": "BHAVNA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-27",
"last_updated": "2019-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036137323",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036137323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.