DR. DIMITRIOS T. MOUGOLIAS M.D.
NPI 1053520700
Emergency Medicine in Libertyville, IL

Q: 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.

Q: What is Dimitrios Mougolias's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since May 21, 2007PECOS EnrolledAccepts Medicare Assignment

801 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048(847) 990-2075 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 15, 2022, Dec 20, 2021, Nov 19, 2019 (3 updates tracked since 2019).

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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

NPI1053520700

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. DIMITRIOS T. MOUGOLIASCredential: M.D.

Location Address801 S MILWAUKEE AVELibertyville, IL 60048-3204

Mailing Address181 W Olive StElmhurst, IL 60126-3909 · (708) 870-8289

Phone(847) 990-2075

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateMay 21, 2007

Last NPPES UpdateFebruary 12, 20243 updates tracked since enumeration

NPPES CertifiedFebruary 12, 2024

✔ NPI 1053520700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in IL · 036118251✔ Licensed in WI · 53098-20

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License 036118251 (IL)

801 S MILWAUKEE AVE, Libertyville, IL 60048

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID3375632748

PECOS Enrollment IDI20071228000405, I20240905000261

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

317 services307 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

175 services166 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

137 services130 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

54 services54 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

16 services16 patients

Hospital Affiliations CMS Care Compare 5

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, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140065

Location5101 S Willow Springs RdLa Grange, IL 60525 · Cook County

Emergency services

Riverside Medical Center

Acute Care Hospitals · Kankakee, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140186

Location350 N Wall StKankakee, IL 60901 · Kankakee County

Emergency services Birthing friendly

Uchicago Medicine Adventhealth Glenoaks

Acute Care Hospitals · Glendale Heights, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140292

Location701 Winthrop AvenueGlendale Heights, IL 60139 · Du Page County

Emergency services Birthing friendly

Tristar Hendersonville Medical Center

Acute Care Hospitals · Hendersonville, TN

4/5 CMS rating

OwnershipProprietary

CMS Certification Number440194

Location355 New Shackle Island RdHendersonville, TN 37075 · Sumner County

Emergency services Birthing friendly

Tristar Stonecrest Medical Center

Acute Care Hospitals · Smyrna, TN

3/5 CMS rating

OwnershipProprietary

CMS Certification Number440227

Location200 Stonecrest BoulevardSmyrna, TN 37167 · Rutherford County

Emergency services Birthing friendly

Physician 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.

New Patient

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. ANNA MAE STEGEMANN D.O.

Anesthesiology

801 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048

Lake County (847) 990-2135

MAUREEN FRITZ DPT

Physical Therapist

801 S MILWAUKEE AVE, REHAB DEPARTMENT
LIBERTYVILLE, IL 60048

Lake County (847) 990-5350

DR. DEAN JOSEPH CONTERATO MD

Radiology (Radiation Oncology)

801 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048

Lake County (847) 990-5910

GLORIA BOLAND BSN, RN, CDCES

Registered Nurse (Diabetes Educator)

801 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048

Lake County (847) 990-5579

CONDELL MEDICAL CENTER

General Acute Care Hospital

801 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048

Lake County (847) 362-2900

MARINA LYUBKIN

Nurse Practitioner

801 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048

Lake County (847) 362-2900

IHC-LIBERTYVILLE EMERGENCY PHYSICIANS, LLC

Emergency Medicine

801 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048

Lake County (414) 290-6718

GINNA J KIM CRNA

Nurse Anesthetist, Certified Registered

801 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048

Lake County (847) 362-2905

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.

What insurance does Dimitrios Mougolias accept?

Health plans from CareSource (Common Ground Healthcare) and Medica 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, Riverside Medical Center, 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.