Dr Gautam K Bhanushali, MD in Chicago, IL

Dr Gautam K Bhanushali, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Chicago, Illinois. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Nephrology Associates Of Northern Illinois Ltd and his current practice location is 2701 W 68th Street, Professional Pavilion 4 South, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (773) 735-4884.

Dr Gautam K Bhanushali is licensed to practice in Illinois (license number 036132193) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1073829990.

Contact Information

	Dr Gautam K Bhanushali, MD
	2701 W 68th Street, Professional Pavilion 4 South, Chicago, IL 60629
	(773) 735-4884
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Gautam K Bhanushali
Gender	Male
Speciality	Nephrology
Experience	21 Years
Location	2701 W 68th Street, Chicago, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Gautam K Bhanushali graduated from medical school in 2003

NPI Data:

NPI Number: 1073829990
Provider Enumeration Date: 08/30/2010
Last Update Date: 02/02/2023

Medicare PECOS Information:

PECOS PAC ID: 1951548601
Enrollment ID: I20130717000799

Medical Identifiers

Medical identifiers for Dr Gautam K Bhanushali such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073829990	NPI	-	NPPES
922820024	Other	IL	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	036132193 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Fmc - Southside Dialysis Center	Chicago, IL	Dialysis facility
Concerto Dialysis	Crestwood, IL	Dialysis facility
Fmc - Ross Dialysis - Englewood	Chicago, IL	Dialysis facility
Affiliated Dialysis Centers	Oak park, IL	Dialysis facility
Holy Cross Hospital	Chicago, IL	Hospital
South Shore Hospital	Chicago, IL	Hospital
Osf Little Company Of Mary Medical Center	Evergreen park, IL	Hospital
St Bernard Hospital	Chicago, IL	Hospital
Jackson Park Hospital	Chicago, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Nephrology Associates Of Northern Illinois Ltd	2163328675	93

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Gautam K Bhanushali allows following entities to bill medicare on his behalf.

Entity Name	Nephrology Associates Of Northern Illinois Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124069182 PECOS PAC ID: 2163328675 Enrollment ID: O20031208000313

Entity Name	Willow Springs Surgery Center Ltd
Entity Type	Part B Supplier - Ambulatory Surgical Center
Entity Identifiers	NPI Number: 1467429233 PECOS PAC ID: 5092783712 Enrollment ID: O20040921000585

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gautam K Bhanushali is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Gautam K Bhanushali, MD 120 W 22nd St Ste 200, Oak Brook, IL 60523-1563 Ph: (630) 573-5000	Dr Gautam K Bhanushali, MD 2701 W 68th Street, Professional Pavilion 4 South, Chicago, IL 60629 Ph: (773) 735-4884

Reviews and Comments

Internal Medicine Doctors in Chicago, IL

Dr. Sorin C Danciu, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3134 N Clark St, Chicago, IL 60657 Phone: 773-880-9722
Anoopa A. Koshy, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 259 E Erie St Ste 2200, Chicago, IL 60611 Phone: 312-926-6000
William Edmond Gerardi, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 3730 N Lake Shore Dr, Apartment 2a, Chicago, IL 60613 Phone: 773-244-3060
Suparna Dutta, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1700 W Van Buren St, Suite 500, Chicago, IL 60612 Phone: 312-942-4200 Fax: 312-942-3568
Alexandra Dumitrescu, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 888-824-0200
Dr. Mitesh Mahesh Kabadi, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St Ste 1159, Chicago, IL 60612 Phone: 312-942-5020
Dr. Marta Batus, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St, Suite 809, Chicago, IL 60612 Phone: 312-563-2487 Fax: 312-942-3192

Dr Gautam K Bhanushali, MD - Medicare Nephrology in Chicago, IL