Individual provider Active NPI

Rajesh M Bala, D.O.

  • Emergency Medicine Physician
  • Chicago, IL
National Provider Identifier
1346536380
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
125-059156 Issued in IL
Practice address
345 E Ohio St
Apt. 2602
Chicago, IL 60611-3375
Phone
(661) 472-1233
NPI assigned
Jun 28, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 125-059156 IL Primary

Addresses

Primary practice location

345 E Ohio St
Apt. 2602
Chicago, IL 60611-3375

Mailing address

345 E Ohio St
Apt. 2602
Chicago, IL 60611-3375
Phone (661) 472-1233

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
I20140123002064 IL Practitioner - Emergency Medicine 6901034727 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Emergency Physicians LLCGroup PAC ID 1850657180, 44 clinicians

Practice addresses (Care Compare)

2000 Ogden Ave
Aurora, IL 60504-7222
Phone (630) 978-6200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125-059156ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chicago Central Emergency Physicians, LLP Emergency Medicine CurrentSince Nov 29, 2020 Accepting new patients
Aurora Emergency Physicians, LLC Emergency Medicine CurrentSince Mar 1, 2025 Accepting new patients
Harvey Emergency Physicians, PLLC Emergency Medicine CurrentSince Dec 1, 2022 Accepting new patients
Emergency Medicine Physicians of Cook County LLC Emergency Medicine CurrentSince Nov 2, 2021 Accepting new patients
Aurora Emergency Physicians, LLC Emergency Medicine CurrentSince Mar 1, 2025 Accepting new patients

Locations

5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468

2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200

1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300

20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857

1122 W Veterans Pkwy
Yorkville, IL 60560
Phone (630) 466-8200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1346536380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 E OHIO ST",
            "address_2": "APT. 2602",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113375",
            "telephone_number": "661-472-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 E OHIO ST",
            "address_2": "APT. 2602",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113375",
            "telephone_number": "661-472-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALA",
        "first_name": "RAJESH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-28",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "125-059156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.