Balu Natarajan MD SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036101773 Issued in IL

Legal business name

BALU NATARAJAN MD SC

Practice address

711 W North Ave
Suite 208
Chicago, IL 60610-7010

Phone

(312) 616-7778

Fax

(312) 276-4304

NPI assigned

May 29, 2007

Last updated

Feb 19, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Balakrishnan Natarajan, MDNPI 1295799013

Title

President

Phone

(312) 616-7778

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Balakrishnan Natarajan, MD

  • Sports Medicine (Internal Medicine) Physician
  • Des Plaines, IL
  • NPI 1295799013
  Medicare reassignment NPD Authorized official
• Shana Scott, MBA, LAT

  • Athletic Trainer
  • Chicago, IL
  • NPI 1568661833
  NPD (past)

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455840000000",
    "number": "1437350592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W NORTH AVE",
            "address_2": "SUITE 208",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606101174",
            "telephone_number": "773-616-7778",
            "fax_number": "312-276-4304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W NORTH AVE",
            "address_2": "SUITE 208",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606107010",
            "telephone_number": "312-616-7778",
            "fax_number": "312-276-4304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALU NATARAJAN MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2016-02-19",
        "status": "A",
        "authorized_official_last_name": "NATARAJAN",
        "authorized_official_first_name": "BALAKRISHNAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-616-7778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036101773",
            "primary": true
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "IL",
            "license": "036101773",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036101773",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01633302",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Baltierres Dental P.C.
• Gabriela Baltierres, D.D.S.
• Steve Zaric Baltrukonis
• Breanna Angela Baltrusch, CPO, LPO
• Nicole Cory Baltrushes Hughes, M.D.
• Abhinav Reddy Balu
• Simona Balu, M.D.
• Ayesha Baluch
• Stephanie Baluka, PA
• Erin Balza, LCSW

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.