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POOJA JAIN DOSHI M.D.
NPI 1467608513
Obstetrics & Gynecology in Chicago, IL

Active since August 08, 2008PECOS EnrolledAccepts Medicare Assignment
4025 N WESTERN AVE BLDG E, CHICAGO, IL 60618(773) 296-3300 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pooja Jain Doshi M.d. NPPES

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

POOJA JAIN DOSHI M.D. (NPI 1467608513) is an individual obstetrics & gynecology provider in Chicago, Illinois, licensed in Illinois (036120551) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Northeastern Ohio University College Of Medicine (2005).

NPPES Registry Identity

NPI1467608513
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NamePOOJA JAIN DOSHICredential: M.D.
Location Address4025 N WESTERN AVE BLDG EChicago, IL 60618-3726
Mailing Address29373 Network PlChicago, IL 60673-1293
Phone(773) 296-3300
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2005
Enumeration DateAugust 8, 2008
Last NPPES UpdateApril 11, 2023
NPPES CertifiedApril 11, 2023
✔ NPI 1467608513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IL · 036120551
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
4025 N WESTERN AVE BLDG E, Chicago, IL 60618
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12850 W 95th St, Suite 203Evergreen Park, IL 60805-2735 · Phone (708) 499-4100 · Fax (708) 229-6076
Location 23936 N Milwaukee AveChicago, IL 60641-2703 · Phone (773) 736-6125

Other Identifiers 1

Other036-120551IL · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Pooja Jain Doshi 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 ID2860545746
PECOS Enrollment IDI20090727000143
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 60618 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
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
56%122 patients3/55-star benchmark: 92%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%1,252 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 658 patients
Patients tobacco: 99% · 656 patients
83%40 patients4/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 16

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

DR. KUMAR SIDDHARTH LAL M.D.
Internal Medicine (Pulmonary Disease)
4025 N WESTERN AVE BLDG E
CHICAGO, IL 60618
Cook County (773) 275-7700
SARAH R JORGENSON M.D.
Internal Medicine
4025 N WESTERN AVE BLDG E
CHICAGO, IL 60618
Cook County (773) 275-7700
MS. ERICA J KLAW PA-C
Physician Assistant
4025 N WESTERN AVE BLDG E
CHICAGO, IL 60618
Cook County (773) 725-7700
MS. ALYSON MARIE HU LCSW
Social Worker (Clinical)
4025 N WESTERN AVE BLDG E
CHICAGO, IL 60618
Cook County (773) 296-3300
ALESIA CHURYLA MD
Internal Medicine
4025 N WESTERN AVE BLDG E, MEDICAL SERVICES
CHICAGO, IL 60618
Cook County (773) 275-7700
GORDON DOUGLAS SKEOCH
Obstetrics & Gynecology
4025 N WESTERN AVE BLDG E
CHICAGO, IL 60618
Cook County (773) 296-3300
MR. VIRGILIO A CARAMAY FNP-BC
Nurse Practitioner (Family)
4025 N WESTERN AVE BLDG E
CHICAGO, IL 60618
Cook County (773) 275-7700
ALIYAH Y AHMED
Family Medicine
4025 N WESTERN AVE BLDG E
CHICAGO, IL 60618
Cook County (773) 275-7700

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 Pooja Doshi's NPI number?

The NPI number for Pooja Doshi is 1467608513. It was assigned to this individual provider in the NPPES registry on August 8, 2008.

Where is Pooja Doshi located?

Pooja Doshi practices at 4025 N Western Ave Bldg E, Chicago, IL 60618. The listed phone number is (773) 296-3300.

What is Pooja Doshi's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Pooja Doshi enrolled in Medicare?

Yes. Pooja Doshi 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 Pooja Doshi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Pooja Doshi 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 Pooja Doshi was last updated on April 11, 2023. 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.