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PERRY ALEXANDER POULOS D.O.
NPI 1609628486
Student in an Organized Health Care Education/Training Program in Carol Stream, IL

Active since April 04, 2024PECOS Enrolled
885 HAMPTON DR, CAROL STREAM, IL 60188(630) 815-9856 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Perry Alexander Poulos D.o. NPPES

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

PERRY ALEXANDER POULOS D.O. (NPI 1609628486) is an individual student in an organized health care education/training program in Carol Stream, Illinois and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609628486
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePERRY ALEXANDER POULOSCredential: D.O.
Location Address885 HAMPTON DRCarol Stream, IL 60188-2977
Mailing Address885 Hampton DrCarol Stream, IL 60188-2977 · (630) 815-9856
Phone(630) 815-9856
Sole ProprietorNo
Enumeration DateApril 4, 2024
NPPES CertifiedApril 3, 2024
✔ NPI 1609628486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
885 HAMPTON DR, Carol Stream, IL 60188
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Perry Alexander Poulos D.o. 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.

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 Perry Poulos's NPI number?

The NPI number for Perry Poulos is 1609628486. It was assigned to this individual provider in the NPPES registry on April 4, 2024.

Where is Perry Poulos located?

Perry Poulos practices at 885 Hampton Dr, Carol Stream, IL 60188. The listed phone number is (630) 815-9856.

What is Perry Poulos's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Perry Poulos enrolled in Medicare?

Yes. Perry Poulos is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Perry Poulos was last updated on April 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.