STATHIS POULAKIDAS MD
NPI 1508833344
Surgery - Surgical Critical Care in Libertyville, IL

Q: What is Stathis Poulakidas's NPI number?

The NPI number for Stathis Poulakidas is 1508833344. It was assigned to this individual provider in the NPPES registry on March 1, 2006.

Q: What is Stathis Poulakidas's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Active since March 01, 2006PECOS EnrolledAccepts Medicare Assignment

801 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048(847) 362-2900 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 7, 2022, Apr 28, 2021, Jul 8, 2020 (3 updates tracked since 2020).

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About Stathis Poulakidas Md NPPES

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

STATHIS POULAKIDAS MD (NPI 1508833344) is an individual surgical critical care provider in Libertyville, Illinois, licensed in Illinois (36099012) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with John H Stroger Jr Hospital, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1508833344

Entity TypeIndividualMale

Primary Taxonomy2086S0102X

Provider Legal NameSTATHIS POULAKIDASCredential: MD

Location Address801 S MILWAUKEE AVELibertyville, IL 60048-3204

Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900

Phone(847) 362-2900

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateMarch 1, 2006

Last NPPES UpdateApril 7, 20223 updates tracked since enumeration

NPPES CertifiedApril 7, 2022

✔ NPI 1508833344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians

Taxonomy Code2086S0102X

License✔ Licensed in IL · 36099012

Definition

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine 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 ListedSurgeryTaxonomy 208600000X · License 036-099012 (IL)

Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License 36099012 (IL)

801 S MILWAUKEE AVE, Libertyville, IL 60048

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Secondary Practice Location 1

Location 11901 W Harrison St, Room 3229Chicago, IL 60612-3714 · Phone (312) 864-3166 · Fax (312) 864-9545

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

Stathis Poulakidas 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 ID9537067608

PECOS Enrollment IDI20031229000098

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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

25 services18 patients

Hospital Affiliations CMS Care Compare 2

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

John H Stroger Jr Hospital

Acute Care Hospitals · Chicago, IL

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number140124

Location1901 W Harrison StChicago, IL 60612 · Cook County

Emergency services Birthing friendly

Saint Anthony Medical Center

Acute Care Hospitals · Rockford, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140233

Location5666 East State StreetRockford, IL 61108 · Winnebago County

Emergency services Birthing friendly

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.

Tape, waterproof, per 18 square inches A4452

DME-Medical/Surgical Supplies · category DA000N

2 suppliers33 claims1,810 services$0.37 avg. paid by Medicare

Collagen based wound filler, dry form, sterile, per gram of collagen A6010

DME-Medical/Surgical Supplies · category DA023N

2 suppliers13 claims360 services$29.74 avg. paid by Medicare

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196

DME-Medical/Surgical Supplies · category DA023N

2 suppliers18 claims720 services$7.08 avg. paid by Medicare

Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing A6197

DME-Medical/Surgical Supplies · category DA023N

1 supplier18 claims660 services$15.80 avg. paid by Medicare

Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing A6253

DME-Medical/Surgical Supplies · category DA023N

1 supplier15 claims870 services$6.12 avg. paid by Medicare

Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard A6266

DME-Medical/Surgical Supplies · category DA023N

1 supplier23 claims1,127 services$1.85 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.

DR. ANNA MAE STEGEMANN D.O.

Anesthesiology

801 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048

Lake County (847) 990-2135

MAUREEN FRITZ DPT

Physical Therapist

801 S MILWAUKEE AVE, REHAB DEPARTMENT
LIBERTYVILLE, IL 60048

Lake County (847) 990-5350

DR. DEAN JOSEPH CONTERATO MD

Radiology (Radiation Oncology)

801 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048

Lake County (847) 990-5910

GLORIA BOLAND BSN, RN, CDCES

Registered Nurse (Diabetes Educator)

801 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048

Lake County (847) 990-5579

CONDELL MEDICAL CENTER

General Acute Care Hospital

801 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048

Lake County (847) 362-2900

MARINA LYUBKIN

Nurse Practitioner

801 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048

Lake County (847) 362-2900

IHC-LIBERTYVILLE EMERGENCY PHYSICIANS, LLC

Emergency Medicine

801 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048

Lake County (414) 290-6718

DR. DIMITRIOS T. MOUGOLIAS M.D.

Emergency Medicine

801 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048

Lake County (847) 990-2075

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 Stathis Poulakidas's NPI number?

The NPI number for Stathis Poulakidas is 1508833344. It was assigned to this individual provider in the NPPES registry on March 1, 2006.

Where is Stathis Poulakidas located?

Stathis Poulakidas practices at 801 S Milwaukee Ave, Libertyville, IL 60048. The listed phone number is (847) 362-2900.

What is Stathis Poulakidas's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is Stathis Poulakidas enrolled in Medicare?

Yes. Stathis Poulakidas 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 Stathis Poulakidas accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Stathis Poulakidas 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 Stathis Poulakidas affiliated with any hospitals?

According to CMS data, Stathis Poulakidas is affiliated with John H Stroger Jr Hospital and Saint Anthony Medical Center.

When was this NPI record last updated?

The NPPES record for Stathis Poulakidas was last updated on April 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.