Individual provider Active NPI

Pamela Pope, M.D.

  • Internal Medicine Physician
  • Palatine, IL
National Provider Identifier
1649378548
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-067611 Issued in IL
Practice address
453 S Vermont St Ste C
Palatine, IL 60067-6968
Phone
(913) 359-6001
Fax
(913) 359-5552
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-067611 IL Primary

Addresses

Primary practice location

453 S Vermont St Ste C
Palatine, IL 60067-6968

Mailing address

6601 College Blvd Ste 120
Overland Park, KS 66211-1504
Phone (913) 359-6001

Other practice location 1

1251 N Eddy St Ste 200
South Bend, IN 46617-1478
Phone (913) 359-6001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 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
I20110209000210 IL Practitioner - Internal Medicine 6103006135 Reassigns benefits to 1 organization
Practice locations: Arlington Heights, IL; Palatine, IL
I20220606000640 IN Practitioner - Internal Medicine 6103006135 Reassigns benefits to 1 organization
Practice locations: Crown Point, IN; South Bend, IN

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rush Medical College of Rush University, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patheous Medical PLLCGroup PAC ID 8921458720, 18 clinicians

Practice addresses (Care Compare)

1251 N Eddy St
Suite 200
South Bend, IN 46617-1478
Phone (913) 236-6307

453 S Vermont St
Suite C
Palatine, IL 60067-6968
Phone (913) 359-6021

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-067611ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Patheous Medical PLLC CurrentSince Dec 11, 2023 Accepting new patients
MBS Envision LLC PastSince Jan 1, 2022 Accepting new patients
Spirit Lake Tribe Past Accepting new patients
MBS Advantage Inc PastSince Mar 9, 2009 Accepting new patients
Spirit Lake Health Center Past Accepting new patients

Locations

453 S Vermont St
Ste C
Palatine, IL 60067
Phone (913) 359-6001

1251 N Eddy St
Ste 200
South Bend, IN 46617
Phone (219) 286-7258

6601 College Blvd
Ste 120
Overland Park, KS 66211
Phone (913) 359-6001

10551 Barkley St
Ste 400
Overland Park, KS 66212

11618 Gravois Rd
Saint Louis, MO 63126
Phone (314) 239-9740

Organizations & group practices 5

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1649378548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 COLLEGE BLVD STE 120",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111504",
            "telephone_number": "913-359-6001",
            "fax_number": "913-359-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 S VERMONT ST STE C",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600676968",
            "telephone_number": "913-359-6001",
            "fax_number": "913-359-5552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1251 N Eddy St Ste 200",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466171478",
            "country_code": "US",
            "telephone_number": "913-359-6001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POPE",
        "first_name": "PAMELA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-067611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

Verify at the official NPI Registry.