CARLY POLCYN MD
NPI 1700535093
Emergency Medicine in Chicago, IL
About Carly Polcyn Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLY POLCYN MD (NPI 1700535093) is an individual emergency medicine provider in Chicago, Illinois, licensed in Illinois (036-179647) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with Rush Oak Park Hospital, and maintains a secondary practice location in Boston.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Carly Polcyn 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.
Medicare Billing Reassignments
2Medicare enrollment records show Carly Polcyn reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chicago, IL 60612
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Rush University Medical Group
- 2,169 clinicians in this Medicare group
Chicago, IL 60612
- Reassigned Medicare billing, Illinois enrollment
- 548 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Rush Oak Park Hospital
Acute Care Hospitals · Oak Park, ILRush University Medical Center
Acute Care Hospitals · Chicago, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60612 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.
CHICAGO, IL 60612
CHICAGO, IL 60612
CHICAGO, IL 60612
CHICAGO, IL 60612
CHICAGO, IL 60612
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 Carly Polcyn's NPI number?
The NPI number for Carly Polcyn is 1700535093. It was assigned to this individual provider in the NPPES registry on March 22, 2022.
Where is Carly Polcyn located?
Carly Polcyn practices at 1653 W Congress Pkwy, Chicago, IL 60612. The listed phone number is (312) 947-0100.
What is Carly Polcyn's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Carly Polcyn enrolled in Medicare?
Yes. Carly Polcyn 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.
Which organizations bill Medicare for Carly Polcyn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carly Polcyn reassigns Medicare benefits to 2 organizations: Rush University Medical Center (Chicago, IL) and Rush Medical Group (Chicago, IL). Each 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 Carly Polcyn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Carly Polcyn affiliated with any hospitals?
According to CMS data, Carly Polcyn is affiliated with Rush Oak Park Hospital and Rush University Medical Center.
When was this NPI record last updated?
The NPPES record for Carly Polcyn was last updated on May 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Carly Polcyn, MD · NPI 1700535093
Emergency Medicine physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since March 22, 2022.
## Identity
- **NPI:** 1700535093 (Entity type: Individual)
- **Enumerated:** March 22, 2022
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 036-179647 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1653 W CONGRESS PKWY, Chicago, IL 60612-3833
- **Phone:** (312) 947-0100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Rush University Medical Center (NPI 1184269425, Chicago, IL); Rush Medical Group (NPI 1467312850, Chicago, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Toledo College Of Medicine, class of 2022
## Record status
- **NPPES last updated:** May 15, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1700535093) · Data from the CMS NPPES public registry.