Individual provider Active NPI

Teja Poosarla, M.D.

  • Medical Oncology Physician
  • Zion, IL
National Provider Identifier
1932467792
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
036.171938 Issued in IL
Practice address
2520 Elisha Avenue
Zion, IL 60099
Phone
(800) 322-9183
Fax
(571) 472-1294
NPI assigned
May 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101273767 VA
Internal Medicine Physician 207R00000X 23858 MS
Hematology & Oncology Physician 207RH0003X MD.37162 AL
Medical Oncology Physician 207RX0202X 0101273767 VA
Student in an Organized Health Care Education/Training Program 390200000X
Medical Oncology Physician 207RX0202X 036.171938 IL Primary

Addresses

Primary practice location

2520 Elisha Avenue
Zion, IL 60099

Mailing address

2361 Paysphere Circle
Chicago, IL 60067
Phone (800) 322-9183

Other practice location 1

1660 Spring Hill Ave
Mobile, AL 36604-1405
Phone (251) 665-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, DC, IL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20181102000417 AL Practitioner - Hematology/Oncology 3173747920 Reassigns benefits to 2 organizations
I20220301000954 DC Practitioner - Medical OncologyPractitioner - Internal Medicine 3173747920 Reassigns benefits to 2 organizations
I20241001002358 IL Practitioner - Medical Oncology 3173747920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
University of South Alabama College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
City of Hope Medical Group of Illinois PLLCGroup PAC ID 3274446596, 129 clinicians

Practice addresses (Care Compare)

2520 Elisha Ave
Zion, IL 60099-2676
Phone (847) 872-4561

Hospital & facility affiliations

  • Midwestern Region Med Center, Inc Hospital, Zion, IL, CCN 140100

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.49

Merit-based Incentive Payment System (MIPS)

Final score
86.5 of 100Reported as group
Quality
74.24
Promoting interoperability
100
Improvement activities
40
Cost
66.56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23858MSMDInternal Medicine Physician
MD.37162ALMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
USA Health - Mci Business Services LLC Hematology & Oncology CurrentSince Oct 1, 2021 Accepting new patients
University of South Alabama Internal Medicine Current Accepting new patients
Inova Health Care Services Internal Medicine CurrentSince Jan 24, 2022 Accepting new patients
City of Hope Medical Group of Illinois PLLC CurrentSince Sep 16, 2024 Accepting new patients
USA Health - Mci Business Services LLC CurrentSince Oct 1, 2021 Accepting new patients
University of South Alabama Medical Oncology CurrentSince Aug 1, 2018 Accepting new patients
University of South Alabama Past Accepting new patients
Major Hospital Past Accepting new patients
University of South Alabama Mitchell Cancer Institute PastSince Feb 2, 2020 Accepting new patients

Locations

1660 Spring Hill Ave
Mobile, AL 36604
Phone (251) 445-9616

1660 Spring Hill Ave
Ste 3069
Mobile, AL 36604
Phone (251) 445-8405

2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711

2361 Paysphere Cir
Chicago, IL 60674
Phone (847) 746-4358

2520 Elisha Ave
Zion, IL 60099
Phone (800) 322-9183

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

Interoperability endpoints

  • Direct secure messaging: tpoosarla191860@cityofhope.direct-ci.com

Organizations & group practices 10

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 1

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": "1335830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1932467792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2361 PAYSPHERE CIRCLE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60067",
            "telephone_number": "800-322-9183",
            "fax_number": "571-423-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 ELISHA AVENUE",
            "city": "ZION",
            "state": "IL",
            "postal_code": "60099",
            "telephone_number": "800-322-9183",
            "fax_number": "571-472-1294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1660 Spring Hill Ave",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366041405",
            "country_code": "US",
            "telephone_number": "251-665-8000",
            "fax_number": "251-665-8010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POOSARLA",
        "first_name": "TEJA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-01",
        "last_updated": "2025-05-21",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101273767",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "23858",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AL",
            "license": "MD.37162",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "VA",
            "license": "0101273767",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "IL",
            "license": "036.171938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zion, IL

Sources for this page

Verify at the official NPI Registry.