Active NPI
Balakrishnan Natarajan, MD
- Sports Medicine (Internal Medicine) Physician
- Des Plaines, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Internal Medicine) Physician
- License
- 036101773
- Practice address
- 606 Potter Rd
Des Plaines, IL 60016-5337 - Phone
- (847) 759-9449
- NPI assigned
- Apr 17, 2006
- Last updated
- Oct 13, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036101773 | IL | |
| Sports Medicine (Internal Medicine) Physician | 207RS0010X | 036101773 | IL | Primary |
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 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036101773 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MD, DE, IN, TX, PA, CT, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 8
Care Compare profile
Medicare Care Compare- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036101773 | IL | MD | Sports Medicine (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 200
Dallas, TX 75287
Phone (972) 201-3800
17855 Dallas Pkwy
Ste 300A
Dallas, TX 75287
Phone (817) 887-0017
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/
Ownership & related parties
All facility ownership & control disclosures 3
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| 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 |
Owned or controlled facilities with NPI records 3
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba AccentCare Hospice & Palliative Care of King County
- Community Based Hospice Care Agency
- Renton, WA
- NPI 1053042721
Contracted Managing Employee
-
dba AccentCare Hospice & Palliative Care of Pierce County
- Community Based Hospice Care Agency
- Tacoma, WA
- NPI 1821861303
Contracted Managing Employee
-
dba AccentCare Hospice & Palliative Care of Snohomish County
- Community Based Hospice Care Agency
- Lynnwood, WA
- NPI 1255025540
Contracted Managing Employee
Organizations & group practices 29
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.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1437350592
-
dba AccentCare Medical Group of Pennsylvania
- Hospice and Palliative Medicine (Family Medicine) Physician
- King of Prussia, PA
- NPI 1780138545
-
dba AccentCare Medical Group of Illinois
- Hospice and Palliative Medicine (Family Medicine) Physician
- Rosemont, IL
- NPI 1639430861
-
dba AccentCare Medical Group of Connecticut
- Hospice and Palliative Medicine (Family Medicine) Physician
- Middlebury, CT
- NPI 1316491004
-
dba AccentCare Medical Group of Delaware
- Hospice and Palliative Medicine (Family Medicine) Physician
- Newark, DE
- NPI 1457690695
-
dba AccentCare Medical Group of Maryland
- Hospice and Palliative Medicine (Family Medicine) Physician
- Columbia, MD
- NPI 1376894931
-
dba AccentCare Medical Group of Texas
- Hospice and Palliative Medicine (Family Medicine) Physician
- Irving, TX
- NPI 1275931545
-
dba AccentCare Hospice & Palliative Care of Georgia
- Community Based Hospice Care Agency
- Alpharetta, GA
- NPI 1790080950
-
dba AccentCare Hospice & Palliative Care of Oregon
- Community Based Hospice Care Agency
- Portland, OR
- NPI 1669891032
-
dba AccentCare Hospice & Palliative Care of Wisconsin
- Community Based Hospice Care Agency
- West Allis, WI
- NPI 1407853112
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1528153335
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Saint Paul, MN
- NPI 1376387134
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1497859649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602547200000",
"number": "1295799013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 SHAFER CT STE 700",
"city": "ROSEMONT",
"state": "IL",
"postal_code": "600184989",
"telephone_number": "847-692-1000",
"fax_number": "847-692-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 POTTER RD",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600165337",
"telephone_number": "847-759-9449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATARAJAN",
"first_name": "BALAKRISHNAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-17",
"last_updated": "2020-10-13",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036101773",
"primary": false
},
{
"code": "207RS0010X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sports Medicine",
"state": "IL",
"license": "036101773",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036101773",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Des Plaines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.