Active NPI
Lyudmyla Polupan, M.D.
- Anesthesiology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 036126431
- Practice address
- 1901 W Harrison St
Chicago, IL 60612-3714 - Phone
- (312) 864-6000
- NPI assigned
- Aug 26, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036126431 | IL | Primary |
Addresses
Primary practice location
1901 W Harrison St
Chicago, IL 60612-3714
Mailing address
109 E Fox Hill Dr
Buffalo Grove, IL 60089-1519
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2650 Ridge Ave
Evanston, IL 60201-1700
2739 W Foster Ave
Chicago, IL 60625-3661
Phone (773) 878-8200
5140 N California
Suite G600
Chicago, IL 60625-3645
Phone (773) 989-3803
5140 N California Ave
Chicago, IL 60625-3645
5145 N California
Hosps Suite 331
Chicago, IL 60625-3661
Phone (847) 570-2280
5145 N California Ave
Chicago, IL 60625-3661
Phone (773) 878-8200
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.9 of 100
- Quality
- 75.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036126431 | IL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Anesthesiology | Current | Accepting new patients |
| Swedish Covenant Management Services, Inc | Current | Accepting new patients | |
| Swedish Covenant Management Services, Inc. | Current | Accepting new patients | |
| Windy City Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Windy City Anesthesia PC | Current | Accepting new patients | |
| Endeavor Health Medical Group | Anesthesiology | Current | Accepting new patients |
Locations
1256 Waterford Dr
Ste 130
Aurora, IL 60504
Phone (630) 820-2727
355 E Grand Ave
Chicago, IL 60611
Phone (312) 587-3432
1338 E 47th St
Chicago, IL 60653
Phone (773) 324-3338
9532 Eagle Way
Chicago, IL 60678
5140 N California Ave
Ste 780
Chicago, IL 60625
Phone (773) 784-5140
5145 N California Ave
Chicago, IL 60625
Phone (773) 989-3800
900 Rand Rd
Des Plaines, IL 60016
Phone (847) 324-9676
1614 N Harlem Ave
Elmwood Park, IL 60707
Phone (708) 452-5000
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
21120 Washington Pkwy
Frankfort, IL 60423
Phone (815) 469-9750
10401 S Roberts Rd
Ste 2
Palos Hills, IL 60465
Phone (708) 430-1600
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
Anesthesiology
-
- Obstetrics & Gynecology Physician
- Chicago, IL
- NPI 1760432348
-
- Certified Registered Nurse Anesthetist
- Frankfort, IL
- NPI 1932248622
Anesthesiology
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1962049551
-
- Certified Registered Nurse Anesthetist
- Wentzville, MO
- NPI 1447514377
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1831151257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282780800000",
"number": "1790091809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 E FOX HILL DR",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600891519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 W HARRISON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123714",
"telephone_number": "312-864-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLUPAN",
"first_name": "LYUDMYLA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-26",
"last_updated": "2010-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036126431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.