Individual provider Active NPI

Deborah Wagner Pockross, MD

  • Allergy Physician
  • Elgin, IL
National Provider Identifier
1689781569
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
Practice address
750 Fletcher Dr Ste 200
Elgin, IL 60123-4703
Phone
(847) 888-8802
Fax
(866) 246-1146
NPI assigned
Aug 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X IL Primary

Addresses

Primary practice location

750 Fletcher Dr Ste 200
Elgin, IL 60123-4703

Mailing address

750 Fletcher Dr Ste 200
Elgin, IL 60123-4703
Phone (847) 888-8802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.63 of 100Reported as group
Quality
89.39
Promoting interoperability
100
Improvement activities
40
Cost
76.04

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036110481ILMDAllergy Physician
4704117669MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kenilworth Medical Associates, S.C. CurrentSince Jan 25, 2011 Accepting new patients
Advanced Allergy & Asthma Associates SC PastSince May 18, 2013 Accepting new patients

Locations

534 Green Bay Rd
Kenilworth, IL 60043
Phone (847) 251-5136

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20375/brand/1/csg/1/fhir/r4

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689781569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 FLETCHER DR STE 200",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234703",
            "telephone_number": "847-888-8802",
            "fax_number": "866-246-1146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 FLETCHER DR STE 200",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234703",
            "telephone_number": "847-888-8802",
            "fax_number": "866-246-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POCKROSS",
        "first_name": "DEBORAH",
        "middle_name": "WAGNER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.