Vishal Bobba, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

125.086849 Issued in IL

Practice address

4220 W 95TH St Ste 200
Oak Lawn, IL 60453-3072

Phone

(708) 398-0287

Fax

(708) 684-0281

NPI assigned

Apr 7, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752364800000",
    "number": "1376337337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 W ERIE ST APT 1605",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606546424",
            "telephone_number": "309-798-6672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 W 95TH ST STE 200",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604533072",
            "telephone_number": "708-398-0287",
            "fax_number": "708-684-0281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBBA",
        "first_name": "VISHAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-07-13",
        "certification_date": "2025-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.086849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tom Blicharski, APN
• Adam R. Block, D.O.
• Samuel Jesse Blockson
• Brian Blumenstein, MD
• Wilfred Boarden, M.D.
• Sarah Boersma, FNP
• Susan Boettcher, RD, LDN
• Bhagyalakshmi Gopal Boggaram, MD
• Michele Beth Bohne
• Elizabeth Ann Bojda

• All providers in Oak Lawn, IL
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.