GAUTAM K. BHANUSHALI MD – NPI #1073829990
Internal Medicine
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
GAUTAM BHANUSHALI is a physician located in CHICAGO, IL. NPPES has assigned the NPI number 1073829990 to GAUTAM BHANUSHALI on August 30, 2010. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology
The NPI profile was last updated on Aug 04, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GAUTAM BHANUSHALI below.
NPI Profile for
GAUTAM K. BHANUSHALI
(about 16 years ago)
PROFESSIONAL PAVILION 4 SOUTH
CHICAGO, IL 60629 Phone: (773) 735-4884 Fax:
3 Other location(s):
Addison, IL 60101-1478
Phone: (773) 284-9247
Fax: (773) 284-9249
Chicago, IL 60621-3116
Phone: (773) 483-2200
Fax: (773) 483-2201
Evergreen Park, IL 60805-2741
Phone: (773) 483-2200
Fax: (773) 483-2201
OAK BROOK, IL 60523-1563 Phone: (630) 573-5000 Fax:
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for GAUTAM BHANUSHALI
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| other | MEDICARE | IL | 922820024 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207RN0300X - Internal Medicine / Nephrology (Primary) |
IL | 036132193 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Health Information Exchange (HEI)
HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.
View All Endpoint(s)
- Endpoint
- [email protected]
- Endpoint type
- Direct Messaging Address
- Endpoint Description
- Content Type
- Affiliation
- N
- Endpoint Location
-
120 W 22ND ST STE 200,
OAK BROOK, IL 77025-1669
- Endpoint
- [email protected]
- Endpoint type
- Direct Messaging Address
- Endpoint Description
- Content Type
- Affiliation
- N
- Endpoint Location
-
2701 W 68TH STREET,
CHICAGO, IL 77025-1669
- Endpoint
- https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
- Endpoint type
- FHIR URL
- Endpoint Description
- Content Type
- Affiliation
- N
- Endpoint Location
-
2701 W 68TH STREET,
CHICAGO, IL 77025-1669
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
GAUTAM BHANUSHALI is affiliated with the following medical group(s):
- HOSPITAL
- ADVOCATE TRINITY HOSPITAL2320 E 93RD ST
CHICAGO, IL 60617 - HOLY CROSS HOSPITAL2701 W 68TH STREET
CHICAGO, IL 60629 - INGALLS MEMORIAL HOSPITAL1 INGALLS DRIVE
HARVEY, IL 60426 - OSF LITTLE COMPANY OF MARY MEDICAL CENTER2800 W 95TH ST
EVERGREEN PARK, IL 60805 - ST BERNARD HOSPITAL326 W 64TH ST
CHICAGO, IL 60621
- ADVOCATE TRINITY HOSPITAL2320 E 93RD ST
- DIALYSIS FACILITY
- CONCERTO DIALYSIS14255 S CICERO AVE
CRESTWOOD, IL 60445 - DIALYSIS DIRECT - OAK PARK715 LAKE STREET, STE. 318
OAK PARK, IL 60301 - FMC - ROSS DIALYSIS - ENGLEWOOD946 W. 63rd Street
CHICAGO, IL 60621 - FMC - SOUTHSIDE DIALYSIS CENTER3134 WEST 76TH STREET
CHICAGO, IL 60652
- CONCERTO DIALYSIS14255 S CICERO AVE
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