Individual provider Active NPI

Paula Oldeg, M.D.

  • Emergency Medicine Physician
  • Chicago, IL
National Provider Identifier
1568438687
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036-114142 Issued in IL
Practice address
1653 W Congress Pkwy
Suite 177
Chicago, IL 60612-3833
Phone
(312) 942-8149
NPI assigned
Feb 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036-114142 IL Primary
Emergency Medicine Physician 207P00000X 2014015850 MO

Addresses

Primary practice location

1653 W Congress Pkwy
Suite 177
Chicago, IL 60612-3833

Mailing address

1653 W Congress Pkwy Ste 177
Chicago, IL 60612-3833
Phone (312) 942-8149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 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
I20050917000322 IL Practitioner - Emergency Medicine 5991696536
I20140702001723 MO Practitioner - Emergency Medicine 5991696536 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-114142ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospitals East Communities CurrentSince Jun 1, 2014 Accepting new patients
Mercy Aco Clinical Services Inc Emergency Medicine CurrentSince Nov 28, 2022 Accepting new patients
Mercy Hospital Lincoln CurrentSince Jul 2, 2019 Accepting new patients
Mercy Hospitals East Communities CurrentSince Jul 2, 2019 Accepting new patients
Mercy Hospital South Emergency Medicine CurrentSince Jan 6, 2020 Accepting new patients
Mercy Hospitals East Communities Emergency Medicine CurrentSince Jun 1, 2014 Accepting new patients
Mercy Hospital South CurrentSince Jan 6, 2020 Accepting new patients
Mercy Hospitals East Communities Emergency Medicine CurrentSince Jul 2, 2019 Accepting new patients
St Louis Pathology Assoc Inc. Current Accepting new patients

Locations

15740 South Outer 40 Rd
Chesterfield, MO 63017
Phone (636) 735-4268

10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

625 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-0175

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

900 E Cherry St
Troy, MO 63379
Phone (636) 528-8585

901 E 5th St
Washington, MO 63090
Phone (636) 239-8000

Organizations & group practices 9

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1568438687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1653 W CONGRESS PKWY STE 177",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123833",
            "telephone_number": "312-942-8149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1653 W CONGRESS PKWY",
            "address_2": "SUITE 177",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123833",
            "telephone_number": "312-942-8149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDEG",
        "first_name": "PAULA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-28",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-114142",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2014015850",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.