DR. JOHN D POLOUSKY MD
NPI 1639285109
Surgery in Akron, OH
About Dr. John D Polousky Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN D POLOUSKY MD (NPI 1639285109) is an individual surgery provider in Akron, Ohio, licensed in Ohio (35.139315) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. John D Polousky Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show John Polousky reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Akron, OH 44308
- Reassigned Medicare billing, Ohio enrollment
- 559 clinicians in this Medicare group
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 44308 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
AKRON, OH 44308
AKRON, OH 44308
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 John Polousky's NPI number?
The NPI number for John Polousky is 1639285109. It was assigned to this individual provider in the NPPES registry on August 21, 2006.
Where is John Polousky located?
John Polousky practices at 1 Perkins Sq, Akron, OH 44308. The listed phone number is (330) 543-3500.
What is John Polousky's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is John Polousky enrolled in Medicare?
Yes. John Polousky is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for John Polousky's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Polousky reassigns Medicare benefits to Children's Hospital Medical Center Of Akron (Akron, OH). 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 John Polousky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Polousky accept?
Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., MedMutual, SummaCare and UnitedHealthcare list John Polousky 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 John Polousky was last updated on March 18, 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.
# Dr. John D Polousky, MD · NPI 1639285109
Surgery physician in Akron, Ohio. Individual provider, active in the CMS NPPES registry since August 21, 2006.
## Identity
- **NPI:** 1639285109 (Entity type: Individual)
- **Enumerated:** August 21, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 35.139315 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 PERKINS SQ, Akron, OH 44308-1063
- **Phone:** (330) 543-3500 · **Fax:** (330) 543-5001
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Children's Hospital Medical Center Of Akron (NPI 1780857797, Akron, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 18, 2021
- **Other identifiers:** Medicaid 353969403 (TX); Medicaid 353969401 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1639285109) · Data from the CMS NPPES public registry.