Individual provider Active NPI

Massarat A Bala, M.D.

  • Internal Medicine Physician
  • Schaumburg, IL
National Provider Identifier
1730196833
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-091372 Issued in IL
Practice address
921 N Plum Grove Rd
Schaumburg, IL 60173-4761
Phone
(847) 359-3400
Fax
(847) 358-2770
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-091372 IL Primary

Addresses

Primary practice location

921 N Plum Grove Rd
Schaumburg, IL 60173-4761

Mailing address

921 N Plum Grove Rd
Schaumburg, IL 60173-4761
Phone (847) 359-3400

Other identifiers 1

IdentifierTypeStateIssuer
036091372MedicaidIL

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
I20100217000737 IL Practitioner - Internal Medicine 1557419405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healing Hands Primary Care LLC 4 clinicians

Practice addresses (Care Compare)

921 N Plum Grove Rd
Schaumburg, IL 60173-4761
Phone (847) 359-3400

Hospital & facility affiliations

  • Residential Home Health Home health agency, Schaumburg, IL, CCN 147094
  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252
  • St Alexius Medical Center Hospital, Hoffman Estates, IL, CCN 140290

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-091372ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hands Primary Care LLC Internal Medicine CurrentSince Dec 1, 2014 Accepting new patients
Therapeutic Interventions, Inc. CurrentSince Jan 1, 2021 Accepting new patients

Locations

1645 Hicks Rd
Ste A
Rolling Meadows, IL 60008
Phone (847) 991-4800

1545 Hicks Rd
Rolling Meadows, IL 60008
Phone (847) 359-3400

921 N Plum Grove Rd
Schaumburg, IL 60173
Phone (847) 359-3400

Organizations & group practices 2

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429574400000",
    "number": "1730196833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 N PLUM GROVE RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734761",
            "telephone_number": "847-359-3400",
            "fax_number": "847-358-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 N PLUM GROVE RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734761",
            "telephone_number": "847-359-3400",
            "fax_number": "847-358-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALA",
        "first_name": "MASSARAT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2015-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-091372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036091372",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.