Individual provider Active NPI

Baljinder Singh Bathla, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Chicago, IL
National Provider Identifier
1154510311
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
036116037 Issued in IL
Practice address
1550 S Indiana Ave
Suite 100
Chicago, IL 60605-2857
Phone
(312) 623-7246
Fax
(312) 583-9300
NPI assigned
Oct 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician 2081N0008X 036116037 IL
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 036116037 IL Primary

Addresses

Primary practice location

1550 S Indiana Ave
Suite 100
Chicago, IL 60605-2857

Mailing address

1550 S Indiana Ave
Suite 100
Chicago, IL 60605-2857
Phone (312) 623-7246

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080229000117 IL Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain ManagementPractitioner - Pain Management 3779667761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management, Pain Management
Education
Wright State University Boonshoft School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chicago Sports and Spine, LLCGroup PAC ID 5294898292, 3 clinicians

Practice addresses (Care Compare)

1550 S Indiana Ave
Suite 100
Chicago, IL 60605-2857
Phone (312) 623-7246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Chicago Sports and Spine, LLC CurrentSince Jan 15, 2009 Accepting new patients
Continental Chronic Pain LTD Past Accepting new patients

Locations

1550 S Indiana Ave
Ste 100
Chicago, IL 60605
Phone (312) 623-7246

1550 S Indiana Ave
Ste 1
Chicago, IL 60605
Phone (312) 623-7246

355 Ridge Ave
Evanston, IL 60202
Phone (847) 316-2329

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BECGAA/Endpoint/BECGAA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432080000000",
    "number": "1154510311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 S INDIANA AVE",
            "address_2": "SUITE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052857",
            "telephone_number": "312-623-7246",
            "fax_number": "312-583-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 S INDIANA AVE",
            "address_2": "SUITE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052857",
            "telephone_number": "312-623-7246",
            "fax_number": "312-583-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATHLA",
        "first_name": "BALJINDER",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-23",
        "last_updated": "2015-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081N0008X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": "IL",
            "license": "036116037",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "IL",
            "license": "036116037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.