Individual provider Active NPI

Samuel Edward Polhemus, MD

  • Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1326624420
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036.172685 Issued in IL
Practice address
325 S Paulina St Ste 200
Chicago, IL 60612-3207
Phone
(312) 942-5932
NPI assigned
Mar 20, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X DR0069452 CO
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 036.172685 IL Primary

Addresses

Primary practice location

325 S Paulina St Ste 200
Chicago, IL 60612-3207

Mailing address

325 S Paulina St Ste 200
Chicago, IL 60612-3207
Phone (312) 942-5932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230901002841 CO Practitioner - Psychiatry 6305209628
I20250423001818 IL Practitioner - Psychiatry 6305209628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Medical College of Wisconsin, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

325 S Paulina St
Chicago, IL 60612-3206
Phone (312) 942-8387

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR0069452COMDPsychiatry Physician
036.172685ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Group Multi-Specialty CurrentSince Apr 1, 2025 Accepting new patients
Rush University Medical Center PastSince Jun 23, 2025 Accepting new patients

Locations

325 S Paulina St
Ste 200
Chicago, IL 60612
Phone (312) 563-1617

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

325 S Paulina St
Chicago, IL 60612
Phone (312) 563-1535

75 Remittance Dr
Dept 1611
Chicago, IL 60675

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1326624420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 S PAULINA ST STE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123207",
            "telephone_number": "312-942-5932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 S PAULINA ST STE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123207",
            "telephone_number": "312-942-5932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLHEMUS",
        "first_name": "SAMUEL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-20",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "DR0069452",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036.172685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.