Balakrishnan Natarajan, MD
Individual provider Active NPI Sports Medicine (Internal Medicine) Physician · Des Plaines, IL
NPI 1295799013 · NPPES record last updated Oct 13, 2020
Key facts
- NPI
- 1295799013
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sports Medicine (Internal Medicine) Physician 207RS0010X
- License
- 036101773 (IL)
- Practice address
- 606 Potter Rd
Des Plaines, IL 60016-5337 - Phone
- (847) 759-9449
- NPI assigned
- Apr 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 29
Hospital & facility affiliations 1
Owned or controlled facilities with NPI records 3
Medicare Care Compare profile
- Specialty
- Sports Medicine
- Education
- Northwestern University Feinberg Medical School, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
111 N Wabash Ave
Suite 1919
Chicago, IL 60602-2002
Phone (312) 616-7778
Hospital & facility affiliations
- Northwestern Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (8 enrollments) in IL, MD, DE, IN, TX, PA, CT, GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Accentcare Hospice & Palliative Care of King County |
Hospice | Contracted Managing Employee | Dec 1, 2020 |
| Accentcare Hospice & Palliative Care of Snohomish County |
Hospice | Contracted Managing Employee | Aug 1, 2024 |
| Accentcare Hospice & Palliative Care of Pierce County |
Hospice | Contracted Managing Employee | Dec 1, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041124000468 | IL | Practitioner - Sports Medicine |
3870558232 | Reassigns benefits to 2 organizations |
| I20121214000057 | MD | Practitioner - Internal Medicine |
3870558232 | Reassigns benefits to 1 organization |
| I20130712000220 | DE | Practitioner - Internal Medicine |
3870558232 | Reassigns benefits to 1 organization |
| I20140925002150 | IN | Practitioner - Sports Medicine |
3870558232 | |
| I20150630001080 | TX | Practitioner - Sports Medicine |
3870558232 | Reassigns benefits to 1 organization |
| I20161108000209 | PA | Practitioner - Sports Medicine |
3870558232 | Reassigns benefits to 1 organization |
| I20180523001338 | CT | Practitioner - Internal Medicine |
3870558232 | Reassigns benefits to 1 organization |
| I20221005000690 | GA | Practitioner - Internal Medicine |
3870558232 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036101773 | IL | MD | Internal Medicine Physician |
Practice roles
Locations
1579 Straits Tpke
Ste 1E
Middlebury, CT 06762
Phone (203) 490-1000
220 Continental Dr
Ste 407
Newark, DE 19713
Phone (302) 533-3800
11675 Great Oaks Way
Ste 310
Alpharetta, GA 30022
Phone (404) 250-4950
111 N Wabash Ave
Ste 1919
Chicago, IL 60602
Phone (312) 726-9730
606 Potter Rd
Des Plaines, IL 60016
Phone (800) 570-8809
6400 Shafer Ct
Ste 700
Rosemont, IL 60018
5457 Twin Knolls Rd
Ste 100
Columbia, MD 21045
Phone (410) 689-7400
27355 John R Rd
Madison Hts, MI 48071
Phone (248) 291-2698
6500 S Macadam Ave
Ste 160
Portland, OR 97239
Phone (503) 265-6600
2200 Renaissance Blvd
Ste 110
King of Prussia, PA 19406
Phone (610) 382-1800
17855 Dallas Pkwy
Ste 300A
Dallas, TX 75287
Phone (817) 887-0017
17855 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 201-3800
10318 Lake Rd
Bldg C
Houston, TX 77070
Phone (281) 847-6300
6737 W Washington St
Ste 2150
West Allis, WI 53214
Phone (414) 203-8310
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036101773 | IL | |
| Sports Medicine (Internal Medicine) Physician | 207RS0010X | 036101773 | IL | Yes |
Addresses
Primary practice location
606 Potter Rd
Des Plaines, IL 60016-5337
Mailing address
6400 Shafer CT Ste 700
Rosemont, IL 60018-4989
Phone (847) 692-1000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036101773 | Medicaid | IL |
Other providers in Des Plaines, IL
- Priyanka Nair
- Vlada Z Nakhlis
- Nancy Eschbach LCSW and Associates
- Noel Elizabeth Nape
- Rukhsar Nasir
- Natural Comfort LLC
- Ashley Ann Naula
- Justina Krystyna Nawrot
- Ashley Giselle Negrete
- Neighborhood Services
All providers in Des Plaines, IL · Sports Medicine (Internal Medicine) Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.