Individual provider Active NPI

Patrick E Pozzi, MD

  • Obstetrics & Gynecology Physician
  • Elk Grove Village, IL
National Provider Identifier
1497871156
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036069471 Issued in IL
Practice address
800 Biesterfield Road
Suite 106 Wimmer Medical Plaza
Elk Grove Village, IL 60007
Phone
(847) 981-8866
Fax
(847) 981-5580
NPI assigned
Mar 22, 2007
Last updated
Feb 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036069471 IL Primary

Addresses

Primary practice location

800 Biesterfield Road
Suite 106 Wimmer Medical Plaza
Elk Grove Village, IL 60007

Mailing address

1860 Paysphere Cir
Chicago, IL 60674-0018
Phone (630) 942-7998

Other identifiers 1

IdentifierTypeStateIssuer
0360694712MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ppozzi179191@direct.edward.org

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
I20120521000022 IL Practitioner - Obstetrics/Gynecology 5799948261

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036069471ILMDObstetrics & Gynecology Physician

Interoperability endpoints

  • Direct secure messaging: ppozzi179191@direct.edward.org

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1497871156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 PAYSPHERE CIR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606740018",
            "telephone_number": "630-942-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD ROAD",
            "address_2": "SUITE 106 WIMMER MEDICAL PLAZA",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "60007",
            "telephone_number": "847-981-8866",
            "fax_number": "847-981-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POZZI",
        "first_name": "PATRICK",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036069471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360694712",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ppozzi179191@direct.edward.org",
            "affiliation": "N",
            "address_1": "800 Biesterfield Road",
            "address_2": "Suite 106 Wimmer Medical Plaza",
            "city": "Elk Grove Village",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

Verify at the official NPI Registry.