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POJ LYSOUVAKON
NPI 1346304946
Pediatrics in Chicago, IL

Active since December 20, 2006PECOS Enrolled
800 E 55TH ST, CHICAGO, IL 60615(773) 702-0660 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2022, Mar 2, 2022, Dec 9, 2021 and 1 more (4 updates tracked since 2018).

About Poj Lysouvakon NPPES

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

POJ LYSOUVAKON (NPI 1346304946) is an individual pediatrics provider in Chicago, Illinois, licensed in Illinois (036098561) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346304946
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NamePOJ LYSOUVAKON
Location Address800 E 55TH STChicago, IL 60615
Mailing Address800 E 55th StChicago, IL 60615-4906 · (773) 702-0660
Phone(773) 702-0660
Sole ProprietorNo
Enumeration DateDecember 20, 2006
Last NPPES UpdateOctober 11, 20224 updates tracked since enumeration
NPPES CertifiedOctober 11, 2022
✔ NPI 1346304946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 036098561
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X · License 036098561 (IL)
800 E 55TH ST, Chicago, IL 60615
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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)

Poj Lysouvakon 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60615 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

APRIL ANNETTE HAMLET APN
Nurse Practitioner (Family)
800 E 55TH ST
CHICAGO, IL 60615
Cook County (773) 702-0660
MS. DEBRA LYNN CONTI FNP-BC
Nurse Practitioner (Family)
800 E 55TH ST
CHICAGO, IL 60615
Cook County (773) 702-0660
JULIE-ANN R COLLINS NP
Nurse Practitioner (Family)
800 E 55TH ST
CHICAGO, IL 60615
Cook County (773) 702-0660
MADELYN J BELL LCSW
Social Worker (Clinical)
800 E 55TH ST
CHICAGO, IL 60615
Cook County (773) 795-2260
DR. DEEPA ARLA D.O.
Internal Medicine
800 E 55TH ST
CHICAGO, IL 60615
Cook County (773) 702-0660
MS. CARLA ELENA RODRIGUEZ MSN, FNP-BC
Nurse Practitioner (Family)
800 E 55TH ST
CHICAGO, IL 60615
Cook County (773) 702-0660
RISKAT FADONOUGBO PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
800 E 55TH ST
CHICAGO, IL 60615
Cook County (773) 702-0660
ANITHA S VINOD M.D.
Pediatrics
800 E 55TH ST
CHICAGO, IL 60615
Cook County (773) 702-2193

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 Poj Lysouvakon's NPI number?

The NPI number for Poj Lysouvakon is 1346304946. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Where is Poj Lysouvakon located?

Poj Lysouvakon practices at 800 E 55th St, Chicago, IL 60615. The listed phone number is (773) 702-0660.

What is Poj Lysouvakon's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Poj Lysouvakon enrolled in Medicare?

Yes. Poj Lysouvakon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Poj Lysouvakon was last updated on October 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.