Dr Gautam K Bhanushali, MD - Medicare Nephrology 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 NameDr Gautam K Bhanushali
GenderMale
SpecialityNephrology
Experience21 Years
Location2701 W 68th Street, Chicago, Illinois
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1073829990NPI-NPPES
922820024OtherILMEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 036132193 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fmc - Southside Dialysis CenterChicago, ILDialysis facility
Affiliated Dialysis CentersOak park, ILDialysis facility
Fmc - Ross Dialysis - EnglewoodChicago, ILDialysis facility
Concerto DialysisCrestwood, ILDialysis facility
Holy Cross HospitalChicago, ILHospital
Jackson Park HospitalChicago, ILHospital
St Bernard HospitalChicago, ILHospital
South Shore HospitalChicago, ILHospital
Advocate Trinity HospitalChicago, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Nephrology Associates Of Northern Illinois Ltd216332867597

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 NameNephrology Associates Of Northern Illinois Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124069182
PECOS PAC ID: 2163328675
Enrollment ID: O20031208000313
Entity NameWillow Springs Surgery Center Ltd
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI 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 AddressPractice 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


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.