DR. POONAM PANKAJ THAKER M.D.
NPI 1508030057
Family Medicine - Sports Medicine in Chicago, IL

Q: What is Poonam Thaker's NPI number?

The NPI number for Poonam Thaker is 1508030057. It was assigned to this individual provider in the NPPES registry on April 16, 2008.

Q: What is Poonam Thaker's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Poonam Thaker was last updated on March 24, 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.

Active since April 16, 2008PECOS EnrolledAccepts Medicare Assignment

7447 W TALCOTT AVE, SUITE 182, CHICAGO, IL 60631(773) 792-5155(773) 594-7975 Get Directions Write a Review

NPPES record last updated: March 24, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Poonam Pankaj Thaker M.d. NPPES

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

DR. POONAM PANKAJ THAKER M.D. (NPI 1508030057) is an individual sports medicine provider in Chicago, Illinois, licensed in Illinois (036-116808) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, is affiliated with Amita Health Resurrection Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1508030057

Entity TypeIndividualFemale

Primary Taxonomy207QS0010X

Provider Legal NameDR. POONAM PANKAJ THAKERCredential: M.D.

Location Address7447 W TALCOTT AVE, SUITE 182Chicago, IL 60631-3745

Mailing Address7447 W Talcott Ave, Suite 182Chicago, IL 60631-3745 · (773) 792-5155 · Fax (773) 594-7975

Phone(773) 792-5155

Fax(773) 594-7975

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateApril 16, 2008

Last NPPES UpdateMarch 24, 2021

NPPES CertifiedMarch 24, 2021

✔ NPI 1508030057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in IL · 036-116808

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 036-116808 (IL)

7447 W TALCOTT AVE, Chicago, IL 60631

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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. Poonam Pankaj Thaker 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 ID2769520287

PECOS Enrollment IDI20091103000547

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

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

Presence Healthcare Services

Same address

Internal Medicine

7447 W TALCOTT AVE, SUITE 551
Chicago, IL 60631

Reassigned Medicare billing, Illinois enrollment
129 clinicians in this Medicare group

NPI 1114201761 (773) 467-9977

Prime Healthcare Illinois Medical Group LLC

4.4 mi

Multi-Specialty

2380 E DEMPSTER ST
Des Plaines, IL 60016

Reassigned Medicare billing, Illinois enrollment
443 clinicians in this Medicare group

NPI 1023837689 (833) 291-0464

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 2

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.

31 services26 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.

23 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Amita Health Resurrection Medical Center

Acute Care Hospitals · Chicago, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140117

Location7435 W Talcott AvenueChicago, IL 60631 · Cook County

Emergency services Birthing friendly

Presence Saint Joseph Hospital - Chicago

Acute Care Hospitals · Chicago, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140224

Location2900 North Lake Shore DriveChicago, IL 60657 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60631 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.

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

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

80%30 patients4/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

46%39 patients2/55-star benchmark: 100%

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 20

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

DR. JOHN B BELLO M.D.

Ophthalmology

7447 W TALCOTT AVE, SUITE 406
CHICAGO, IL 60631

Cook County (773) 775-9755

ASSOCIATED OBSTETRICIANS & GYNECOLOGISTS

Obstetrics & Gynecology

7447 W TALCOTT AVE, SUITE 418
CHICAGO, IL 60631

Cook County (773) 775-2180

DR. ELIZABETH P DIAZ MD

Nurse Practitioner (Pediatrics)

7447 W TALCOTT AVE, SUITE 269
CHICAGO, IL 60631

Cook County (773) 792-2727

VIJAY H. VOHRA M.D.,S.C.

Internal Medicine (Cardiovascular Disease)

7447 W TALCOTT AVE, SUITE 222
CHICAGO, IL 60631

Cook County (773) 774-5245

BEATA S BEDNARSKA MD PC

Family Medicine

7447 W TALCOTT AVE, STE 308, PROFESSIONAL RESURRECTION BLD
CHICAGO, IL 60631

Cook County (773) 763-7522

KATHRYN SKOLARZ, M.D., S.C.

Family Medicine

7447 W TALCOTT AVE, SUITE 366
CHICAGO, IL 60631

Cook County (773) 594-1410

CONNER MICHAEL LAI MD

Family Medicine

7447 W TALCOTT AVE
CHICAGO, IL 60631

Cook County (773) 792-5155

DR. BIRGITTA T MCGUIRE MD

Family Medicine

7447 W TALCOTT AVE, SUITE 409
CHICAGO, IL 60631

Cook County (773) 763-3808

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 Poonam Thaker's NPI number?

The NPI number for Poonam Thaker is 1508030057. It was assigned to this individual provider in the NPPES registry on April 16, 2008.

Where is Poonam Thaker located?

Poonam Thaker practices at 7447 W Talcott Ave Suite 182, Chicago, IL 60631. The listed phone number is (773) 792-5155.

What is Poonam Thaker's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Poonam Thaker enrolled in Medicare?

Yes. Poonam Thaker 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 Poonam Thaker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Poonam Thaker reassigns Medicare benefits to 2 organizations: Presence Healthcare Services (Chicago, IL) and Prime Healthcare Illinois Medical Group LLC (Des Plaines, 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 Poonam Thaker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Poonam Thaker accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Poonam Thaker 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 Poonam Thaker affiliated with any hospitals?

According to CMS data, Poonam Thaker is affiliated with Amita Health Resurrection Medical Center and Presence Saint Joseph Hospital - Chicago.

When was this NPI record last updated?

The NPPES record for Poonam Thaker was last updated on March 24, 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.