Active NPI
Matangi Priyasri Bala, MD
- Anesthesiology Physician
- Hoffman Estates, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 036121273
- Practice address
- 1555 Barrington Rd
Hoffman Estates, IL 60169-1019 - Phone
- (847) 490-6932
- NPI assigned
- Feb 27, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036121273 | IL | Primary |
Addresses
Primary practice location
1555 Barrington Rd
Hoffman Estates, IL 60169-1019
Mailing address
2413 W Algonquin Rd
Suite 608
Algonquin, IL 60102-9402
Phone (224) 333-0033
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036121273 | Other | IL | IL LICENSE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091201000327 | IL | Practitioner - Anesthesiology | 0244379428 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Chicago, Pritzker School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Endeavor Health Medical GroupNorthstar Anesthesia of Illinois, LLCAdventist Health Partners, Inc.
Practice addresses (Care Compare)
155 E Brush Hill Rd
Elmhurst, IL 60126-5658
Phone (331) 221-0096
177 E Brush Hill Rd
Elmhurst, IL 60126-5658
Phone (630) 646-6020
20201 Crawford Ave
Olympia Fields, IL 60461-1010
Phone (708) 747-4000
2650 Ridge Ave
Evanston, IL 60201-1700
396 Remington Blvd
Bolingbrook, IL 60440-4311
701 Winthrop Ave
Glendale Heights, IL 60139-1405
Phone (630) 545-5980
Hospital & facility affiliations
- Uchicago Medicine Adventhealth Glenoaks
- Elmhurst Memorial Hospital
- Uchicago Medicine Adventhealth Bolingbrook
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Anesthesiology | Current | Accepting new patients |
| Northstar Anesthesia of Illinois, LLC | Anesthesiology | Current | Accepting new patients |
| Adventist Health Partners, Inc | Anesthesiology | Current | Accepting new patients |
| Adventist Health Partners, Inc. | Current | Accepting new patients | |
| Endeavor Health Medical Group | Anesthesiology | Current | Accepting new patients |
| Adventist Health Partners,Inc | Current | Accepting new patients | |
| North American Partners in Anesthesia (Illinois), LLC | Anesthesiology | Past | Accepting new patients |
Locations
396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301
2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240
9532 Eagle Way
Chicago, IL 60678
1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227
7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977
100 N River Rd
Des Plaines, IL 60016
Phone (847) 297-1800
2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923
1555 N Barrington Rd
Ste 400
Hoffman Estates, IL 60169
Phone (847) 519-1600
120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700
20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857
1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160
Interoperability endpoints
- mbala1239752@adventhealth.direct-ci.com
Organizations & group practices 7
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.
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-
- Anesthesiology Physician
- Arlington, TX
- NPI 1962822395
Anesthesiology, IL
-
- Anesthesiology Physician
- Glendale Heights, IL
- NPI 1912942012
Anesthesiology
-
- Family Medicine Physician
- Bloomingdale, IL
- NPI 1043255888
-
- Anesthesiology Physician
- Oak Park, IL
- NPI 1699032524
Anesthesiology
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glendale Heights, IL
- NPI 1760415939
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253836800000",
"number": "1508035213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2413 W ALGONQUIN RD",
"address_2": "SUITE 608",
"city": "ALGONQUIN",
"state": "IL",
"postal_code": "601029402",
"telephone_number": "224-333-0033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 BARRINGTON RD",
"city": "HOFFMAN ESTATES",
"state": "IL",
"postal_code": "601691019",
"telephone_number": "847-490-6932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALA",
"first_name": "MATANGI",
"middle_name": "PRIYASRI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-27",
"last_updated": "2009-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036121273",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL LICENSE",
"identifier": "036121273",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hoffman Estates, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.