DR. DIMITRIOS T. MOUGOLIAS M.D.
NPI 1053520700
Emergency Medicine in Libertyville, IL
About Dr. Dimitrios T. Mougolias M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DIMITRIOS T. MOUGOLIAS M.D. (NPI 1053520700) is an individual emergency medicine provider in Libertyville, Illinois, licensed in Illinois (036118251) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Adventist La Grange Memorial Hospital, and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Dimitrios T. Mougolias M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
9Medicare enrollment records show Dimitrios Mougolias reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Libertyville, IL 60048
- Reassigned Medicare billing, Illinois enrollment
- 982 clinicians in this Medicare group
Bolingbrook, IL 60440
- Reassigned Medicare billing, Illinois enrollment
- 187 clinicians in this Medicare group
Milwaukee, WI 53226
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Emergency Medicine Specialists Sc
- 244 clinicians in this Medicare group
Mendota, IL 61342
- Reassigned Medicare billing, Illinois enrollment
- 95 clinicians in this Medicare group
Marseilles, IL 61341
- Reassigned Medicare billing, Illinois enrollment
- 130 clinicians in this Medicare group
Kankakee, IL 60901
- Reassigned Medicare billing, Illinois enrollment
- 61 clinicians in this Medicare group
Birnamwood, WI 54414
- Reassigned Medicare billing, Wisconsin enrollment
- 321 clinicians in this Medicare group
Bowling Green, KY 42104
- Reassigned Medicare billing, Kentucky enrollment
- 103 clinicians in this Medicare group
Nashville, TN 37203
- Reassigned Medicare billing, Tennessee enrollment
- 414 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Adventist La Grange Memorial Hospital
Acute Care Hospitals · La Grange, ILUchicago Medicine Adventhealth Glenoaks
Acute Care Hospitals · Glendale Heights, ILTristar Hendersonville Medical Center
Acute Care Hospitals · Hendersonville, TNTristar Stonecrest Medical Center
Acute Care Hospitals · Smyrna, TNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60048 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LIBERTYVILLE, IL 60048
LIBERTYVILLE, IL 60048
LIBERTYVILLE, IL 60048
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Dimitrios Mougolias's NPI number?
The NPI number for Dimitrios Mougolias is 1053520700. It was assigned to this individual provider in the NPPES registry on May 21, 2007.
Where is Dimitrios Mougolias located?
Dimitrios Mougolias practices at 801 S Milwaukee Ave, Libertyville, IL 60048. The listed phone number is (847) 990-2075.
What is Dimitrios Mougolias's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Dimitrios Mougolias enrolled in Medicare?
Yes. Dimitrios Mougolias is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Dimitrios Mougolias's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dimitrios Mougolias reassigns Medicare benefits to 9 organizations: Cepamerica Illinois LLP (Libertyville, IL), Illinois Emergency Medicine Specialists, LLC (Bolingbrook, IL), Emergency Medicine Specialists, S.C. (Milwaukee, WI), Mendota Community Hospital (Mendota, IL), Ottawa Regional Hospital & Healthcare Center (Marseilles, IL) and 4 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dimitrios Mougolias's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dimitrios Mougolias accept?
Health plans from CareSource (Common Ground Healthcare) and Oscar Insurance Company list Dimitrios Mougolias as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Dimitrios Mougolias affiliated with any hospitals?
According to CMS data, Dimitrios Mougolias is affiliated with Adventist La Grange Memorial Hospital, Uchicago Medicine Adventhealth Glenoaks, Tristar Hendersonville Medical Center and Tristar Stonecrest Medical Center.
When was this NPI record last updated?
The NPPES record for Dimitrios Mougolias was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Dimitrios T. Mougolias, M.D. · NPI 1053520700
Emergency Medicine physician in Libertyville, Illinois. Individual provider, active in the CMS NPPES registry since May 21, 2007.
## Identity
- **NPI:** 1053520700 (Entity type: Individual)
- **Enumerated:** May 21, 2007
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 036118251 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 801 S MILWAUKEE AVE, Libertyville, IL 60048-3204
- **Phone:** (847) 990-2075
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): Cepamerica Illinois LLP (NPI 1740906577, Libertyville, IL); Illinois Emergency Medicine Specialists, LLC (NPI 1003150962, Bolingbrook, IL); Emergency Medicine Specialists, S.C. (NPI 1568413524, Milwaukee, WI); Mendota Community Hospital (NPI 1407872997, Mendota, IL); Ottawa Regional Hospital & Healthcare Center (NPI 1558088203, Marseilles, IL); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** February 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1053520700) · Data from the CMS NPPES public registry.