NPI registry status
Active
2026 NPPES data Specialist NPI 1811995426 MD
Verify on CMS → Suresh Bhalla, MD
Specialist in Joliet, Illinois.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 69,608 in Specialist, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
381
Medicare Part D claims · 189 beneficiaries · Specialist avg: 1K
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Suresh Bhalla, MD filed 381 Medicare Part D claims in 2023 as a Specialist in Joliet, Illinois, prescribing 92% generic.
- 381
- Part D claims, 2023
- 92%
- generic prescribing
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Suresh Bhalla, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
381 Top 43% higher than 57% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Medicare Part D Prescriber Public Use File · 2023
What does the federal data show about Suresh Bhalla, MD?
Quality data not reportedPrimary specialty
Specialist
Medicare Part D claims
381 74% vs specialty avg
Specialty distribution in Illinois
How Specialist compares to other specialties among Illinois providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Specialist. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Suresh Bhalla, MD appears in the CMS NPPES registry as a Specialist provider holding MD credentials at 210 N HAMMES AVE, Joliet, IL, 60435, with a listed phone of (815) 744-2054. NPI 1811995426 was issued on 07/08/2005.
Medicare Part D records for calendar year 2023 show 381 prescription claims written by this provider, covering 189 Medicare beneficiaries and totaling roughly $19K in drug spend, split 8% brand-name and 92% generic by claim count.
Specialist is a high-volume specialty nationwide, with 69,608 enrolled providers across 55 states and an average of 1,474 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1811995426 |
|---|---|
| Specialty | Specialist |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 07/08/2005 |
License & disciplinary context - Illinois IDFPR 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~42K Illinois medical licensees in 2023 - they are NOT specific to Suresh Bhalla, MD. To verify Suresh Bhalla, MD's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases
IDFPR publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Generic-heavy
Suresh Bhalla, MD - brand share 8.0%
Specialist average
8% brand-name claims vs 92% generic, on 381 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
381
Total Claims
$19K
Total Drug Cost
189
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 583
- Total Day Supply
- 14,114
- Brand vs Generic
- 8% brand / 92% generic
- Brand Drug Cost
- $3K
- Generic Drug Cost
- $16K
Patient Demographics
- Average Patient Age
- 70.9 years
- Avg HCC Risk Score
- 1.17
- Gender Split
- 51% female / 49% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Suresh Bhalla, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Omeprazole
Omeprazole
122 claims
- Pantoprazole Sodium
Pantoprazole Sodium
64 claims
- Sucralfate 22
Sucralfate
22 claims
- Mesalamine 21
Mesalamine
21 claims
| Drug | Claims |
|---|---|
| Omeprazole | 122 |
| Pantoprazole Sodium | 64 |
| Sucralfate | 22 |
| Mesalamine | 21 |
| Gavilyte-G "Peg3350/Sod Sulf | N/A |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Specialist Overview
How Suresh Bhalla, MD fits within the Specialist landscape nationally.
69,608
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider
Suresh Bhalla, MD's 381 claims are below the specialty average of 1,474.
Nearby Specialist Providers in Illinois
Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as Bhalla.
Dr. Sandra . Drewes
MD
Winfield, IL
Laketa Aaron
Bellwood, IL
Dr. Carrie Abbott-Walk
M.ED, DT
Dekalb, IL
Dr. Suhair Abdel-Jalil
MD
Evanston, IL
Dr. Babak Abdollahshamshirsaz
M.D.
Chicago, IL
Compare Specialist nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Illinois medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Specialist peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
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Medical Specialties Explained
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Understanding Medicare Claims Data
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Frequently Asked Questions
What is Suresh Bhalla, MD's specialty? ▼
Suresh Bhalla, MD specializes in Specialist and practices in Joliet, Illinois. Credentials: MD.
How much does Suresh Bhalla, MD prescribe under Medicare Part D? ▼
In 2023, Suresh Bhalla, MD wrote 381 Medicare Part D claims totaling $19K in drug costs for 189 beneficiaries.
Where is Suresh Bhalla, MD located? ▼
Suresh Bhalla, MD is located at 210 N HAMMES AVE, Joliet, IL, 60435. Phone: (815) 744-2054.
What is Suresh Bhalla, MD's NPI number? ▼
Suresh Bhalla, MD's National Provider Identifier (NPI) is 1811995426, issued on 07/08/2005.
Does Suresh Bhalla, MD prescribe more brand-name or generic drugs? ▼
Suresh Bhalla, MD's prescribing is 8% brand-name and 92% generic drugs by claim count, with $3K in brand drug costs.
How many Specialist providers are there in the US? ▼
There are 69,608 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does Suresh Bhalla, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Suresh Bhalla, MD's most frequently prescribed drugs include Omeprazole, Pantoprazole Sodium, Sucralfate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Suresh Bhalla, MD accept Medicare? ▼
Suresh Bhalla, MD appears in CMS Medicare data with 381 Part D claims and 189 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Suresh Bhalla, MD's credentials? ▼
Suresh Bhalla, MD's NPI is 1811995426 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.