Neel Bhalala, M.D.
NPI 1992118624 · Family Medicine Physician · Zion, IL
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Neel Bhalala, M.D. is a Family Medicine Physician provider in Zion, IL (NPI 1992118624).
Provider details
- NPI number
- 1992118624
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 036.147760 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
12 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
193 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 | 88 | $132 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 53 | $9 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 28 | $186 |
| Annual Alcohol Misuse Screening, 5 to 15 MinutesG0442 | 12 | $19 |
| Annual Depression Screening, 5 to 15 MinutesG0444 | 12 | $19 |
Typical Medicare-allowed amounts for these services range $9–$186 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 53 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 92 | 39 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 83 | 20 |
| Gabapentin | 71 | 16 |
| Lisinopril | 69 | 23 |
| Amlodipine Besylate | 62 | 21 |
| Metformin Hcl | 53 | 17 |
| Furosemide |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,998 across 168 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
Additional practice locations (1)
- 1201 3rd Ave SeCedar Rapids, IA 52403-4009Phone: (319) 730-7300Fax: (319) 730-7368
Registry dates
- Enumerated
- 2014-06-10
- Last updated
- 2018-11-29
Frequently asked questions
- What is Neel Bhalala's NPI number?
- Neel Bhalala's National Provider Identifier (NPI) is 1992118624, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Neel Bhalala's specialty?
- Neel Bhalala is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Neel Bhalala located?
- Neel Bhalala's practice location on file with NPPES is 2024 Lewis Ave, Zion, IL 60099-1546.
- What is Neel Bhalala's phone number?
- The practice phone number listed in the NPPES registry for Neel Bhalala is (847) 872-5911.
- Does Neel Bhalala accept Medicare?
- Neel Bhalala is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Neel Bhalala's NPI active?
- Yes — Neel Bhalala's NPI (1992118624) is active in the NPPES registry as of the last update on 2018-11-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.