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PAUL J TOUSSAINT MD
NPI 1518960145
Pediatrics in Chicago, IL

Active since May 27, 2005PECOS Enrolled
7447 W TALCOTT AVE, STE 467, CHICAGO, IL 60631(773) 763-1126 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Paul J Toussaint Md NPPES

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

PAUL J TOUSSAINT MD (NPI 1518960145) is an individual pediatrics provider in Chicago, Illinois, licensed in Illinois (036093242) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518960145
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NamePAUL J TOUSSAINTCredential: MD
Location Address7447 W TALCOTT AVE, STE 467Chicago, IL 60631-3715
Mailing Address7447 W Talcott Ave, Ste 467Chicago, IL 60631-3715 · (773) 763-1126
Phone(773) 763-1126
Sole ProprietorNo
Enumeration DateMay 27, 2005
Last NPPES UpdateMarch 22, 2021
NPPES CertifiedMarch 22, 2021
✔ NPI 1518960145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 036093242
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
7447 W TALCOTT AVE, Chicago, IL 60631
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Other Identifiers 1

Medicaid036093242IL

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 (PECOS)

Paul J Toussaint Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Paul Toussaint reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

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.

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.

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 Paul Toussaint's NPI number?

The NPI number for Paul Toussaint is 1518960145. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Where is Paul Toussaint located?

Paul Toussaint practices at 7447 W Talcott Ave Ste 467, Chicago, IL 60631. The listed phone number is (773) 763-1126.

What is Paul Toussaint's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Paul Toussaint enrolled in Medicare?

Yes. Paul Toussaint is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Paul Toussaint's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Toussaint reassigns Medicare benefits to Prime Healthcare Illinois Medical Group LLC (Des Plaines, IL). The 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 Paul Toussaint's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Toussaint accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Paul Toussaint 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 Paul Toussaint was last updated on March 22, 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.