Individual provider Active NPI

Matangi Priyasri Bala, MD

  • Anesthesiology Physician
  • Hoffman Estates, IL
National Provider Identifier
1508035213
Registry record updated Sep 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036121273 Issued in IL
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

Updated by the provider on Sep 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036121273OtherILIL 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091201000327 IL Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 0244379428 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management, Pain Management
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 Group 3,330 clinicians
Northstar Anesthesia of Illinois, LLC 404 clinicians
Adventist Health Partners, Inc. 253 clinicians

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 Hospital, Glendale Heights, IL, CCN 140292
  • Elmhurst Memorial Hospital Hospital, Elmhurst, IL, CCN 140200
  • Uchicago Medicine Adventhealth Bolingbrook Hospital, Bolingbrook, IL, CCN 140304

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group Anesthesiology CurrentSince Oct 1, 2024 Accepting new patients
Northstar Anesthesia of Illinois, LLC Anesthesiology CurrentSince Jun 1, 2016 Accepting new patients
Adventist Health Partners, Inc Anesthesiology CurrentSince Jul 1, 2020 Accepting new patients
Adventist Health Partners, Inc. Current Accepting new patients
Endeavor Health Medical Group Anesthesiology CurrentSince Oct 1, 2024 Accepting new patients
Adventist Health Partners,Inc CurrentSince Jul 1, 2020 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.