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LISA MARIE OLDHAM M.D.
NPI 1689636904
Obstetrics & Gynecology - Gynecology in Chicago, IL

Active since April 03, 2006PECOS EnrolledAccepts Medicare Assignment
7447 W TALCOTT AVE STE 454, CHICAGO, IL 60631(773) 631-5767 Get Directions Write a Review

NPPES record last updated: October 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 4, 2021, Nov 19, 2018 (2 updates tracked since 2018).

About Lisa Marie Oldham M.d. NPPES

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

LISA MARIE OLDHAM M.D. (NPI 1689636904) is an individual gynecology provider in Chicago, Illinois, licensed in Illinois (036-105494) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Presence Saint Francis Hospital, and is a graduate of Washington University School Of Medicine (1997).

NPPES Registry Identity

NPI1689636904
Entity TypeIndividualFemale
Primary Taxonomy207VG0400X
Provider Legal NameLISA MARIE OLDHAMCredential: M.D.
Location Address7447 W TALCOTT AVE STE 454Chicago, IL 60631-3715
Mailing Address7447 W Talcott Ave Ste 454Chicago, IL 60631-3715 · (773) 631-5767
Phone(773) 631-5767
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1997
Enumeration DateApril 3, 2006
Last NPPES UpdateOctober 4, 20212 updates tracked since enumeration
NPPES CertifiedOctober 4, 2021
✔ NPI 1689636904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in IL · 036-105494
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
7447 W TALCOTT AVE STE 454, Chicago, IL 60631
Open in Google Maps ↗

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

Lisa Marie Oldham 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 ID7517968357
PECOS Enrollment IDI20251113003408
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.

Hospital Affiliations CMS Care Compare

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

Presence Saint Francis Hospital

Acute Care Hospitals · Evanston, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140080
Location355 Ridge AveEvanston, IL 60202 · Cook County
Emergency services

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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
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

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

KATHERINE MARY SUHLING CNM
Advanced Practice Midwife
7447 W TALCOTT AVE STE 454
CHICAGO, IL 60631
Cook County (773) 775-2180

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 Lisa Oldham's NPI number?

The NPI number for Lisa Oldham is 1689636904. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Where is Lisa Oldham located?

Lisa Oldham practices at 7447 W Talcott Ave Ste 454, Chicago, IL 60631. The listed phone number is (773) 631-5767.

What is Lisa Oldham's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Lisa Oldham enrolled in Medicare?

Yes. Lisa Oldham 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 Lisa Oldham accept?

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

According to CMS data, Lisa Oldham is affiliated with Presence Saint Francis Hospital.

When was this NPI record last updated?

The NPPES record for Lisa Oldham was last updated on October 4, 2021. 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.