DR. ELIJAH MICHAEL POULOS MD
NPI 1386871325
Internal Medicine - Critical Care Medicine in Prescott, AZ

Active since June 17, 2009PECOS EnrolledAccepts Medicare Assignment
1003 WILLOW CREEK RD, PRESCOTT, AZ 86301(928) 773-0003(928) 773-1170 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 20, 2024, Jun 18, 2024, Oct 9, 2019 and 1 more (4 updates tracked since 2018).

About Dr. Elijah Michael Poulos Md NPPES

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

DR. ELIJAH MICHAEL POULOS MD (NPI 1386871325) is an individual critical care medicine provider in Prescott, Arizona, licensed in Arizona (46193) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In New Orleans (2009).

NPPES Registry Identity

NPI1386871325
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. ELIJAH MICHAEL POULOSCredential: MD
Location Address1003 WILLOW CREEK RDPrescott, AZ 86301-1641
Mailing AddressPo Box 967Flagstaff, AZ 86002-0967 · (928) 773-0003 · Fax (928) 773-1170
Fax(928) 773-1170
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2009
Enumeration DateJune 17, 2009
Last NPPES UpdateAugust 20, 20244 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
NPI 1386871325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in AZ · 46193
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License R71506 (AZ)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 46193 (AZ)
1003 WILLOW CREEK RD, Prescott, AZ 86301

Other Identifiers 1

Medicaid026439AZ

Accepted 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. Elijah Michael Poulos Md 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 ID5193959096
PECOS Enrollment IDI20131008001826
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 11

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
349 services150 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.
69 services35 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
67 services66 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
67 services66 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
66 services65 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
66 services66 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86301 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
6 suppliers76 claims76 services$17.16 avg. paid by Medicare
Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
2 suppliers20 claims20 services$43.66 avg. paid by Medicare
High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483
DME-Other DME · category DE000N
2 suppliers13 claims13 services$829.03 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers105 claims105 services$85.19 avg. paid by Medicare
Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605
DME-Drugs Administered Through DME · category DG006N
3 suppliers17 claims1,020 services$4.59 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
4 suppliers29 claims1,755 services$0.72 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Anesthesiology
1003 WILLOW CREEK RD
PRESCOTT, AZ 86301
Nurse Practitioner
1003 WILLOW CREEK RD
PRESCOTT, AZ 86301
Internal Medicine (Critical Care Medicine)
1003 WILLOW CREEK RD
PRESCOTT, AZ 86301
Emergency Medicine (Emergency Medical Services)
1003 WILLOW CREEK RD
PRESCOTT, AZ 86301
Internal Medicine (Cardiovascular Disease)
1003 WILLOW CREEK RD
PRESCOTT, AZ 86301
Hospitalist
1003 WILLOW CREEK RD
PRESCOTT, AZ 86301
Dietitian, Registered
1003 WILLOW CREEK RD
PRESCOTT, AZ 86301
Hospitalist
1003 WILLOW CREEK RD
PRESCOTT, AZ 86301

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 Elijah Poulos's NPI number?

The NPI number for Elijah Poulos is 1386871325. It was assigned to this individual provider in the NPPES registry on June 17, 2009.

Where is Elijah Poulos located?

Elijah Poulos practices at 1003 Willow Creek Rd, Prescott, AZ 86301. The listed phone number is (928) 773-0003.

What is Elijah Poulos's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Elijah Poulos enrolled in Medicare?

Yes. Elijah Poulos 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 Elijah Poulos accept?

Health plans from Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Elijah Poulos 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.

When was this NPI record last updated?

The NPPES record for Elijah Poulos was last updated on August 20, 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.