Individual provider Active NPI

Poonam D Joshi, M.D.

  • Infectious Disease Physician
  • Elk Grove Village, IL
National Provider Identifier
1154310449
Registry record updated Apr 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
36111681 Issued in IL
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, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
36111681MedicaidIL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041001001053 IL Practitioner - Infectious Disease 2163491408 Reassigns benefits to 1 organization

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
Infectious Diseases Associates PCGroup PAC ID 1456320944, 4 clinicians

Practice addresses (Care Compare)

800 Biesterfield Rd
Elk Grove Village, IL 60007-3361
Phone (847) 981-3694

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.58 of 100Reported as group
Quality
80.29
Improvement activities
40
Cost
75.48

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue651
Removal of skin lesions90

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36111681ILMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Diseases Associates, P.C. Infectious Disease CurrentSince Sep 1, 2004 Accepting new patients
Travel Physicians, SC PastSince Sep 1, 2004 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.