DR. GAUTAM K BHANUSHALI (MD) – Nephrology Physician, NPI 1073829990
Nephrology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
629 NEPHROLOGY in IL
Provider Addresses for DR. GAUTAM K BHANUSHALI (MD)
120 W 22ND ST STE 200
OAK BROOK, IL 605231563
Phone: (630) 573-5000
Type: Mailing
2701 W 68TH STREET
PROFESSIONAL PAVILION 4 SOUTH
CHICAGO, IL 60629
Phone: (773) 735-4884
Type: Location
6307 S Stewart Ave # 210
Chicago, IL 606213116
Phone: (773) 483-2200
Fax: (773) 483-2201
Type: Location
2055 W Army Trail Rd Ste 110E
Addison, IL 601011478
Phone: (773) 284-9247
Fax: (773) 284-9249
Type: Location
2850 W 95th St Ste 300
Evergreen Park, IL 608052741
Phone: (773) 483-2200
Fax: (773) 483-2201
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $2,762.
Total Amount is formed as General ($2,762) + Research ($0) + Ownership ($0) = $2,762.
Last reported payment date: 2024-11-26 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($2,084).
Total Amount
$2,762
General + Research + Ownership
Payments
28
Total payment records
General Amount
$2,762
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-26
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-07-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130717000799 | I | Nephrology | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 416 | 163 | $0 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 108 | 18 | $0 |
| 90966 | Home dialysis services per month (20 years or older) | 75 | 23 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 74 | 33 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 63 | 58 | $0 |
Insurance plans in this area (ZIP 60523)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nephrology, Internal Medicine | IL | |
| Nephrology, Internal Medicine | IL | |
| - | IN | |
| N E P H R O L O G Y | IL | |
| Nephrology, Internal Medicine | IL | |
| N E P H R O L O G Y | IL | |
| N E P H R O L O G Y | IL | |
| - | IL | |
| N E P H R O L O G Y | IL | |
| - | IL |
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