Bhallamd, LLC
NPI 1710434964 · Geriatric Medicine (Internal Medicine) Physician · Hillside, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bhallamd, LLC is a Geriatric Medicine (Internal Medicine) Physician organization in Hillside, IL (NPI 1710434964).
Provider details
- NPI number
- 1710434964
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jake Mathew, Business Office Manager(708) 632-5600
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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 methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-09-06
- Last updated
- 2023-07-11
- Certified
- 2023-07-11
Frequently asked questions
- What is Bhallamd, LLC's NPI number?
- Bhallamd, LLC's National Provider Identifier (NPI) is 1710434964, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bhallamd, LLC?
- Bhallamd, LLC is classified in the NPPES registry as Geriatric Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Bhallamd, LLC located?
- Bhallamd, LLC's practice location on file with NPPES is 4415 Harrison Street, #300, Hillside, IL 60162-1953.
- What is Bhallamd, LLC's phone number?
- The practice phone number listed in the NPPES registry for Bhallamd, LLC is (708) 632-5600.
- Does Bhallamd, LLC accept Medicare?
- Bhallamd, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Bhallamd, LLC?
- The authorized official listed on Bhallamd, LLC's NPPES record is Jake Mathew, Business Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bhallamd, LLC's NPI active?
- Yes — Bhallamd, LLC's NPI (1710434964) is active in the NPPES registry as of the last update on 2023-07-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.