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CHARLES POFF
NPI 1255966297
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since March 10, 2020PECOS Enrolled
5841 S MARYLAND AVE # MC3079, CHICAGO, IL 60637(773) 834-3531 Get Directions Write a Review

NPPES record last updated: April 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 23, 2021, Mar 10, 2020 (2 updates tracked since 2020).

About Charles Poff NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES POFF (NPI 1255966297) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255966297
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCHARLES POFF
Location Address5841 S MARYLAND AVE # MC3079Chicago, IL 60637-1443
Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686 · (773) 702-1150
Phone(773) 834-3531
Sole ProprietorYes
Enumeration DateMarch 10, 2020
Last NPPES UpdateApril 23, 20212 updates tracked since enumeration
NPPES CertifiedApril 23, 2021
✔ NPI 1255966297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5841 S MARYLAND AVE # MC3079, Chicago, IL 60637
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Poff is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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. MATTHEW JOHN PATE MD
Orthopaedic Surgery
5841 S MARYLAND AVE # MC3079
CHICAGO, IL 60637
Cook County (773) 834-3531
DR. GRIGORY E GERSHKOVICH M.D.
Orthopaedic Surgery (Hand Surgery)
5841 S MARYLAND AVE # MC3079
CHICAGO, IL 60637
Cook County (773) 834-1634
BYRON UDEGBE MD
Student in an Organized Health Care Education/Training Program
5841 S MARYLAND AVE # MC3079
CHICAGO, IL 60637
Cook County (773) 834-3531
DR. DARLINGTON NWAUDO MD
Orthopaedic Surgery
5841 S MARYLAND AVE # MC3079
CHICAGO, IL 60637
Cook County (773) 834-3531
DR. JENNIFER TAYLOR EURICH MD
Student in an Organized Health Care Education/Training Program
5841 S MARYLAND AVE # MC3079
CHICAGO, IL 60637
Cook County (773) 834-3531
DR. ALISHA HO MD
Orthopaedic Surgery
5841 S MARYLAND AVE # MC3079
CHICAGO, IL 60637
Cook County (773) 834-3531
TEJAS SUBRAMANIAN
Student in an Organized Health Care Education/Training Program
5841 S MARYLAND AVE # MC3079
CHICAGO, IL 60637
Cook County (773) 834-3531
DREW SCHUPBACH MD
Orthopaedic Surgery (Sports Medicine)
5841 S MARYLAND AVE # MC3079
CHICAGO, IL 60637
Cook County (773) 834-3531

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 Charles Poff's NPI number?

The NPI number for Charles Poff is 1255966297. It was assigned to this individual provider in the NPPES registry on March 10, 2020.

Where is Charles Poff located?

Charles Poff practices at 5841 S Maryland Ave # Mc3079, Chicago, IL 60637. The listed phone number is (773) 834-3531.

What is Charles Poff's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Charles Poff enrolled in Medicare?

Yes. Charles Poff is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Poff was last updated on April 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.