Gopal Bhalala, MD
NPI 1669473963 · Internal Medicine Physician · Zion, IL
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gopal Bhalala, MD is a Internal Medicine Physician provider in Zion, IL (NPI 1669473963).
Provider details
- NPI number
- 1669473963
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036-072139 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
2,152 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 605 | $132 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 459 | $9 |
| Chronic Care Management Services, First 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99490 | 436 | $64 |
| Management Using the Results of Remote Vital Sign Monitoring Per Calendar Month, First 20 Minutes99457 | 135 | $50 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 131 | $186 |
| Chronic Care Management Services for Two Or More Chronic Conditions, Additional 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 134 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 470 | 58 |
| Atorvastatin Calcium | 382 | 131 |
| Alprazolam | 237 | 43 |
| Omeprazole | 226 | 80 |
| Gabapentin | 217 | 63 |
| Carvedilol | 207 | 59 |
| Ibuprofen | 203 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$5,182 across 244 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-08-09
- Last updated
- 2007-09-10
Frequently asked questions
- What is Gopal Bhalala's NPI number?
- Gopal Bhalala's National Provider Identifier (NPI) is 1669473963, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gopal Bhalala's specialty?
- Gopal Bhalala is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Gopal Bhalala located?
- Gopal Bhalala's practice location on file with NPPES is 2024 Lewis Ave, Zion, IL 60099-1546.
- What is Gopal Bhalala's phone number?
- The practice phone number listed in the NPPES registry for Gopal Bhalala is (847) 872-3000.
- Does Gopal Bhalala accept Medicare?
- Gopal Bhalala is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gopal Bhalala's NPI active?
- Yes — Gopal Bhalala's NPI (1669473963) is active in the NPPES registry as of the last update on 2007-09-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.