Active NPI
Poonam D Joshi, M.D.
- Infectious Disease Physician
- Elk Grove Village, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 36111681
- Practice address
- 800 Biesterfield Rd
Brock 4011
Elk Grove Village, IL 60007-3361 - Phone
- (847) 981-3694
- Fax
- (847) 981-6508
- NPI assigned
- Oct 19, 2005
- Last updated
- Apr 15, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 36111681 | IL | Primary |
Addresses
Primary practice location
800 Biesterfield Rd
Brock 4011
Elk Grove Village, IL 60007-3361
Mailing address
800 Biesterfield Rd
Brock 4011
Elk Grove Village, IL 60007-3361
Phone (847) 981-3694
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36111681 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 Biesterfield Rd
Elk Grove Village, IL 60007-3361
Phone (847) 981-3694
Hospital & facility affiliations
- Care for Life Home Health
- Alexian Brothers Home Health
- Alexian Brothers Medical Center 1
- St Alexius Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.58 of 100
- Quality
- 80.29
- Improvement activities
- 40
- Cost
- 75.48
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 651 |
| Removal of skin lesions | 90 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36111681 | IL | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infectious Diseases Associates, P.C. | Infectious Disease | Current | Accepting new patients |
| Travel Physicians, SC | Past | Accepting new patients |
Locations
800 Biesterfield Rd
Ste 4011
Elk Grove Vlg, IL 60007
Phone (847) 981-3694
701 Winthrop Ave
Glendale Hts, IL 60139
Phone (630) 312-2000
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Infectious Disease Physician
- Elk Grove Village, IL
- NPI 1790774016
-
- Health Service Clinic/Center
- Elk Grove Village, IL
- NPI 1881946200
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elk Grove Village, IL
- NPI 1265577191
-
dba Alexian Brothers Home Health
- Home Health Agency
- Hanover Park, IL
- NPI 1760421697
-
- Home Health Agency
- South Elgin, IL
- NPI 1013929124
-
- General Acute Care Hospital
- Hoffman Estates, IL
- NPI 1376644385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365984000000",
"number": "1154310449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 BIESTERFIELD RD",
"address_2": "BROCK 4011",
"city": "ELK GROVE VILLAGE",
"state": "IL",
"postal_code": "600073361",
"telephone_number": "847-981-3694",
"fax_number": "847-981-6508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 BIESTERFIELD RD",
"address_2": "BROCK 4011",
"city": "ELK GROVE VILLAGE",
"state": "IL",
"postal_code": "600073361",
"telephone_number": "847-981-3694",
"fax_number": "847-981-6508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSHI",
"first_name": "POONAM",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-19",
"last_updated": "2013-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "IL",
"license": "36111681",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36111681",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elk Grove Village, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.