DOROTHEA POULOS MD – NPI #1003804519
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

DOROTHEA POULOS is a physician located in ELGIN, IL. NPPES has assigned the NPI number 1003804519 to DOROTHEA POULOS on October 10, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 5 years ago on Dec 03, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DOROTHEA POULOS below.

NPI Profile for
DOROTHEA POULOS

NPI Number
1003804519
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
DOROTHEA POULOS
Credentials
MD
Primary location
87 N AIRLITE ST STE 130
ELGIN, IL 60123-4991
Phone: (847) 888-3661 Fax: (847) 888-9964
1 Other location(s):
1435 N Randall Rd Ste 301
Elgin, IL 60123-2304
Phone: (847) 888-3661
Fax: (847) 888-9964
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Dec 03, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for DOROTHEA POULOS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERRAILROAD RETIREMENT BOARD110021524
MEDICAIDIL036066780
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 IL 036-066780

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
87 N AIRLITE ST STE 130,
ELGIN, IL 77025-1669

Additional Information

Education
HARVARD MEDICAL SCHOOL - Graduated 1982
Accepts Medicare
This provider may accept Medicare Assignment. The Medicare-approved amount is the total the doctor or supplier can be paid. When a doctor accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsurance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
DOROTHEA POULOS is affiliated with the following medical group(s):
  • HOSPITAL
    • ADVOCATE GOOD SHEPHERD HOSPITAL
      450 WEST HIGHWAY 22
      BARRINGTON, IL 60010
    • ADVOCATE SHERMAN HOSPITAL
      1425 NORTH RANDALL ROAD
      ELGIN, IL 60123
    • PRESENCE SAINT JOSEPH HOSPITAL - ELGIN
      77 N AIRLITE STREET
      ELGIN, IL 60123
  • HOME HEALTH AGENCY
    • ADVOCATE HOME HEALTH CARE SERV
      2000 SPRINGER DRIVE
      LOMBARD, IL 60148
  • NURSING HOME
    • AVONDALE ESTATES OF ELGIN
      1754-1760 CAPITAL STREET
      ELGIN, IL 60124
    • RIVER CROSSING OF ELGIN
      2355 ROYAL BOULEVARD
      ELGIN, IL 60123

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.