Individual provider Active NPI

Denise M Poulos, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Oak Lawn, IL
National Provider Identifier
1821087669
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
036081009 Issued in IL
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

Updated by the provider on Feb 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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, AZ2 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
I20041129000040 IL Practitioner - Obstetrics/GynecologyPractitioner - Other (Physician) 9032174362 Reassigns benefits to 1 organization
I20230225000344 AZ Practitioner - Obstetrics/Gynecology 9032174362 Reassigns benefits to 1 organization

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
Ahc - Arizona PLLCGroup PAC ID 9032594338, 2 clinicians
Womens Health Institute of Illinois LTDGroup PAC ID 2860659463, 5 clinicians

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 Hospital, Oak Lawn, IL, CCN 140208
  • Advocate Good Samaritan Hospital Hospital, Downers Grove, IL, CCN 140288
  • Elmhurst Memorial Hospital Hospital, Elmhurst, IL, CCN 140200
  • Advocate Trinity Hospital Hospital, Chicago, IL, CCN 140048

Merit-based Incentive Payment System (MIPS)

Final score
81.2 of 100Reported as group
Quality
71.39
Improvement activities
40
Cost
75.49

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036081009ILMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Womens Health Institute of Illinois LTD Gynecology CurrentSince Jan 1, 2012 Accepting new patients
Ahc - Arizona PLLC Urogynecology and Reconstructive Pelvic Surgery CurrentSince Oct 25, 2022 Accepting new patients
Womens Health Institute of Illinois LTD Gynecology CurrentSince Sep 12, 2011 Accepting new patients
Illinois Urogynecology, LTD. Urogynecology and Reconstructive Pelvic Surgery PastSince Feb 1, 2004 Accepting new patients
Copley Memorial Hospital, Inc. Family Medicine Past Accepting new patients
Arizona Advanced Surgery LLC PastSince Oct 25, 2022 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

  • Direct secure messaging: denise.elser@ilb013.digichart.direct-ci.com
  • FHIR API: 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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.