1. Home
  2. Directory
  3. Illinois
  4. Niles
  5. Internal Medicine
  6. NPI Profile

DR. CAMELIA DENISIA POP M.D.
NPI 1396853230
Internal Medicine in Niles, IL

Active since August 29, 2006PECOS EnrolledAccepts Medicare Assignment
6450 W TOUHY AVE, NILES, IL 60714(847) 583-1000(224) 583-1000 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Camelia Denisia Pop M.d. NPPES

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

DR. CAMELIA DENISIA POP M.D. (NPI 1396853230) is an individual internal medicine provider in Niles, Illinois, licensed in Illinois (036110137) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and maintains a secondary practice location in Des Plaines.

NPPES Registry Identity

NPI1396853230
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. CAMELIA DENISIA POPCredential: M.D.
Location Address6450 W TOUHY AVENiles, IL 60714-4512
Mailing Address6450 W Touhy AveNiles, IL 60714-4512 · (847) 583-1000 · Fax (224) 583-1000
Phone(847) 583-1000
Fax(224) 583-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateAugust 29, 2006
Last NPPES UpdateApril 1, 2021
NPPES CertifiedApril 1, 2021
✔ NPI 1396853230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036110137
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6450 W TOUHY AVE, Niles, IL 60714
Open in Google Maps ↗

Secondary Practice Location 1

Location 1150 N River Rd, Suite 100Des Plaines, IL 60016-1272 · Phone (847) 298-0310

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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. Camelia Denisia Pop 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 ID7012970122
PECOS Enrollment IDI20041110000090, I20070524000569
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Camelia Pop reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lutheran General Hospital
3.6 mi
Cardiovascular Disease
1775 DEMPSTER ST
Park Ridge, IL 60068
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Advocate Health And Hospitals Corporation
  • 4,870 clinicians in this Medicare group
NPI 1801809306 (847) 723-2210
Endeavor Health Medical Group
6.4 mi
Allergy & Immunology
1000 CENTRAL ST
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1497701882 (847) 570-5235

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 6

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
233 services146 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
131 services131 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
124 services96 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.
64 services61 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
22 services22 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

Swedish Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140114
Location5145 N California AveChicago, IL 60625 · Cook County
Emergency services Birthing friendly

Advocate Lutheran General Hospital

Acute Care Hospitals · Park Ridge, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140223
Location1775 Dempster StPark Ridge, IL 60068 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60714 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
15 suppliers41 claims120 services$4.61 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers21 claims27 services$0.75 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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARY ELIZABETH CONTE M.D.
Obstetrics & Gynecology
6450 W TOUHY AVE
NILES, IL 60714
Cook County (847) 933-1773
ALEXIS MARIE SAMPSON PA-C
Physician Assistant
6450 W TOUHY AVE
NILES, IL 60714
Cook County (773) 631-2223
DR. SHIRA FISHBACH MD
Obstetrics & Gynecology
6450 W TOUHY AVE
NILES, IL 60714
Cook County (847) 933-1773
MRS. AUDREY ROSE MA
Counselor (Professional)
6450 W TOUHY AVE
NILES, IL 60714
Cook County (847) 869-0520
AMY D. HERMAN M.D
Internal Medicine
6450 W TOUHY AVE
NILES, IL 60714
Cook County (847) 583-1000

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 Camelia Pop's NPI number?

The NPI number for Camelia Pop is 1396853230. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Camelia Pop located?

Camelia Pop practices at 6450 W Touhy Ave, Niles, IL 60714. The listed phone number is (847) 583-1000.

What is Camelia Pop's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Camelia Pop enrolled in Medicare?

Yes. Camelia Pop 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 Camelia Pop's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Camelia Pop reassigns Medicare benefits to 2 organizations: Lutheran General Hospital (Park Ridge, IL) and Endeavor Health Medical Group (Evanston, IL). 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 Camelia Pop's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Camelia Pop accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Camelia Pop 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 Camelia Pop affiliated with any hospitals?

According to CMS data, Camelia Pop is affiliated with Northshore University Healthsystem - Evanston Hospital, Swedish Hospital and Advocate Lutheran General Hospital.

When was this NPI record last updated?

The NPPES record for Camelia Pop was last updated on April 1, 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.