Steffany Poupart, M.D.

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

225 East Chicago Avenue Box 107
Division of Dermatology
Chicago, IL 60611

Phone

(312) 227-6060

Fax

(312) 227-9402

NPI assigned

Apr 15, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Steffany Ida Marie Poupart Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1780470039",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "6150 AVE DU BOISE",
            "address_2": "APT 6C",
            "city": "MONTREAL",
            "state": "QUEBEC",
            "postal_code": "J0R 1R2"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 EAST CHICAGO AVENUE BOX 107",
            "address_2": "DIVISION OF DERMATOLOGY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60611",
            "telephone_number": "312-227-6060",
            "fax_number": "312-227-9402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POUPART",
        "first_name": "STEFFANY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEFFANY",
            "last_name": "POUPART",
            "middle_name": "IDA MARIE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kayla Poulos, LSW
• Leslie K Poulos, PSYD, HSPP
• Nicholas James Poulos, DDS
• Petroula Poulos
• Tamar Pounardjian, MD
• Nicole R Pouppirt, MD
• Allison M Pourriahi, MD
• Mahbod Pourriahi
• Derrick Drew Pousson, D.C.
• Ruby M. Pouw, M.D.

• Student in an Organized Health Care Education/Training Program in Chicago, IL
• Providers in Chicago, IL by specialty
• Student in an Organized Health Care Education/Training Program in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.