NAPERBROOK MEDICAL CENTER – Primary Care Clinic/Center, NPI 1184801706

NAPERBROOK MEDICAL CENTER is a healthcare provider. based in Bolingbrook, Illinois. specializing in Primary Care Clinic/Center. The organization holds a License No. 042-007177 (IL). The NPI Number for NAPERBROOK MEDICAL CENTER is 1184801706

Main info

Organization
Name
NAPERBROOK MEDICAL CENTER
NPI
1184801706
Phone
(630) 378-1234
Address
686 W BOUGHTON RD
Authorized Official
DR. MEHER BALA MEDAVARAM PRESIDENT M.D.
Enumeration Date
25 January 2008
Last Update Date
25 January 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for NAPERBROOK MEDICAL CENTER

  • 686, West Boughton Road, Barbers Corners, Bolingbrook, Will County, Illinois, 60440, United States

    BOLINGBROOK, IL 604401520

    Phone: (630) 378-1234

    Fax: (630) 378-1155

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2012-04-12

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20120412000696OClinic/Group PracticeILTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60440)

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Reviews

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Frequently asked questions

How do payers reference NAPERBROOK MEDICAL CENTER?
For NAPERBROOK MEDICAL CENTER, use NPI 1184801706 as the unique 10-digit identifier.
Is there an active status for NAPERBROOK MEDICAL CENTER?
For scheduling context, NAPERBROOK MEDICAL CENTER is shown as active in the registry.
What kind of doctor is NAPERBROOK MEDICAL CENTER?
NAPERBROOK MEDICAL CENTER is associated with Primary Care Clinic/Center in the directory — Clinical services aligned with this taxonomy classification.
Where in Illinois is NAPERBROOK MEDICAL CENTER registered?
Use Bolingbrook, Illinois as the headline location for NAPERBROOK MEDICAL CENTER here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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