Individual provider Active NPI

Sree Balusu, MD

  • Pediatrics Physician
  • Des Plaines, IL
National Provider Identifier
1336608322
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036.161294 Issued in IL
Practice address
150 N River Rd Ste 240
Des Plaines, IL 60016-1272
Phone
(847) 391-9033
Fax
(847) 391-9177
NPI assigned
Mar 18, 2019
Last updated
Dec 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 036.161294 IL
Pediatrics Physician 208000000X 036.161294 IL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

150 N River Rd Ste 240
Des Plaines, IL 60016-1272

Mailing address

150 N River Rd Ste 240
Des Plaines, IL 60016-1272
Phone (847) 391-9033

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
I20260213001863 IL Practitioner - Pediatric MedicinePractitioner - General Practice 1951636794 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: General Practice
Education
University of Missouri, Kansas City, School of Medicine, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10845 Griffith Peak Dr
Suite 2
Las Vegas, NV 89135-1555

1461 Crestview Rd
Redlands, CA 92374-6341

4055 Valley View LN
Suite 700
Dallas, TX 75244-4910

4055 Valley View LN
Suite 700
Dallas, TX 75244-5045

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.161294ILMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Pediatrics LLC Pediatrics Current Accepting new patients
Signify Health Medical Associates, PLLC General Practice CurrentSince Feb 1, 2026 Accepting new patients
Asian Human Services Family Health Center, Inc Past Accepting new patients
Signature Medical Group, Inc Past Accepting new patients

Locations

150 N River Rd
Ste 240
Des Plaines, IL 60016
Phone (847) 391-9033

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

Organizations & group practices 5

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": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1336608322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N RIVER RD STE 240",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161272",
            "telephone_number": "847-391-9033",
            "fax_number": "847-391-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N RIVER RD STE 240",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161272",
            "telephone_number": "847-391-9033",
            "fax_number": "847-391-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALUSU",
        "first_name": "SREE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-18",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036.161294",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036.161294",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

Verify at the official NPI Registry.