Active NPI
Denise M Poulos, M.D.
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Oak Lawn, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- License
- 036081009
- Practice address
- 5851 W 95TH St
Suite 300
Oak Lawn, IL 60453-2362 - Phone
- (708) 499-9800
- Fax
- (708) 499-6203
- NPI assigned
- Oct 14, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 036081009 | IL | |
| Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | 207VF0040X | 036081009 | IL | Primary |
Addresses
Primary practice location
5851 W 95TH St
Suite 300
Oak Lawn, IL 60453-2362
Mailing address
5851 W 95TH St
Suite 300
Oak Lawn, IL 60453-2362
Phone (708) 499-9800
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | delser245819@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10250 N 92ND St
Suite 216
Scottsdale, AZ 85258-4519
Phone (702) 483-9050
10762 W 167TH St
Orland Park, IL 60467-5434
Phone (708) 499-9800
2425 W 22ND St
Suite 210
Oak Brook, IL 60523-4656
Phone (708) 499-9800
5851 W 95TH St
Suite 300
Oak Lawn, IL 60453-2415
Phone (708) 499-9800
Hospital & facility affiliations
- Advocate Christ Hospital & Medical Center
- Advocate Good Samaritan Hospital
- Elmhurst Memorial Hospital
- Advocate Trinity Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.2 of 100
- Quality
- 71.39
- Improvement activities
- 40
- Cost
- 75.49
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036081009 | IL | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Womens Health Institute of Illinois LTD | Gynecology | Current | Accepting new patients |
| Ahc - Arizona PLLC | Urogynecology and Reconstructive Pelvic Surgery | Current | Accepting new patients |
| Womens Health Institute of Illinois LTD | Gynecology | Current | Accepting new patients |
| Illinois Urogynecology, LTD. | Urogynecology and Reconstructive Pelvic Surgery | Past | Accepting new patients |
| Copley Memorial Hospital, Inc. | Family Medicine | Past | Accepting new patients |
| Arizona Advanced Surgery LLC | Past | Accepting new patients |
Locations
10250 N 92nd St
Ste 216
Scottsdale, AZ 85258
Phone (702) 482-9050
6800 Main St
Ste 214
Downers Grove, IL 60516
Phone (630) 852-8451
2425 W 22nd St
Ste 210
Oak Brook, IL 60523
Phone (708) 499-9800
5851 W 95th St
Ste 300
Oak Lawn, IL 60453
Phone (708) 499-9800
10762 W 167th St
Orland Park, IL 60467
Phone (708) 499-9800
Interoperability endpoints
- denise.elser@ilb013.digichart.direct-ci.com
- https://fhir4.healow.com/fhir/r4/IGJBCD
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.
-
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Scottsdale, AZ
- NPI 1104562354
-
- Gynecology Physician
- Oak Lawn, IL
- NPI 1609150234
-
- Gynecology Physician
- Downers Grove, IL
- NPI 1245505676
-
- Endocrinology, Diabetes & Metabolism Physician
- Aurora, IL
- NPI 1619466034
Family Medicine
-
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Park Ridge, IL
- NPI 1063421899
-
- Surgery Physician
- Phoenix, AZ
- NPI 1346880838
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hazel Crest, IL
- NPI 1467560128
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- General Acute Care Hospital
- Oak Lawn, IL
- NPI 1548375082
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1558479212
-
- General Acute Care Hospital
- Downers Grove, IL
- NPI 1578670543
-
- General Acute Care Hospital
- Elmhurst, IL
- NPI 1548306343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643932800000",
"number": "1821087669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5851 W 95TH ST",
"address_2": "SUITE 300",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604532362",
"telephone_number": "708-499-9800",
"fax_number": "708-499-6203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5851 W 95TH ST",
"address_2": "SUITE 300",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604532362",
"telephone_number": "708-499-9800",
"fax_number": "708-499-6203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POULOS",
"first_name": "DENISE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-14",
"last_updated": "2022-02-04",
"certification_date": "2022-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "IL",
"license": "036081009",
"primary": false
},
{
"code": "207VF0040X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
"state": "IL",
"license": "036081009",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "delser245819@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "5851 W 95th St",
"address_2": "Suite 300",
"city": "Oak Lawn",
"state": "IL",
"country_code": "US",
"postal_code": "604532362",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "5851 W 95th St",
"address_2": "Suite 300",
"city": "Oak Lawn",
"state": "IL",
"country_code": "US",
"postal_code": "604532362",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.