KRISTINA SHPOUNTOVA OD
NPI 1750028353
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since May 16, 2022PECOS EnrolledAccepts Medicare Assignment
820 S DAMEN AVE, CHICAGO, IL 60612(312) 569-8387 Get Directions Write a Review

NPPES record last updated: May 16, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kristina Shpountova Od NPPES

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

KRISTINA SHPOUNTOVA OD (NPI 1750028353) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hines, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1750028353
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKRISTINA SHPOUNTOVACredential: OD
Location Address820 S DAMEN AVEChicago, IL 60612-3728
Mailing Address410 W Crystal AveLombard, IL 60148-1539 · (630) 956-0563
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 16, 2022
NPPES CertifiedMay 16, 2022
✔ NPI 1750028353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
820 S DAMEN AVE, Chicago, IL 60612

Secondary Practice Location 1

Location 15000 S 5th AveHines, IL 60141-3030 · Phone (708) 202-8387

Accepted Insurance

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

Kristina Shpountova Od 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 ID9638527955
PECOS Enrollment IDI20231128001114
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 Reassignments

2

Medicare enrollment records show Kristina Shpountova reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optometrist
1725 W HARRISON ST, SUITE 906
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • 87 clinicians in this Medicare group
Optometrist
6840 MAIN ST # 250
Downers Grove, IL 60516
  • Reassigned Medicare billing, Illinois enrollment
  • 10 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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
28 services28 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
26 services23 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
20 services20 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
15 services15 patients

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.

Pharmacist
820 S DAMEN AVE, PHARMACY (119)
CHICAGO, IL 60612
Psychologist (Clinical)
820 S DAMEN AVE
CHICAGO, IL 60612
Social Worker (Clinical)
820 S DAMEN AVE
CHICAGO, IL 60612
Social Worker (Clinical)
820 S DAMEN AVE, ROOM 8456
CHICAGO, IL 60612
Nuclear Medicine
820 S DAMEN AVE
CHICAGO, IL 60612
Military Hospital (Military General Acute Care Hospital)
820 S DAMEN AVE
CHICAGO, IL 60612
Psychiatry & Neurology (Psychiatry)
820 S DAMEN AVE, MAILCODE 116A
CHICAGO, IL 60612
Pharmacist (Pharmacotherapy)
820 S DAMEN AVE
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 Kristina Shpountova's NPI number?

The NPI number for Kristina Shpountova is 1750028353. It was assigned to this individual provider in the NPPES registry on May 16, 2022.

Where is Kristina Shpountova located?

Kristina Shpountova practices at 820 S Damen Ave, Chicago, IL 60612. The listed phone number is (312) 569-8387.

What is Kristina Shpountova's specialty?

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

Is Kristina Shpountova enrolled in Medicare?

Yes. Kristina Shpountova 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 Kristina Shpountova's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Shpountova reassigns Medicare benefits to 2 organizations: Rosin Optical Co., Inc. (Chicago, IL) and Naper Grove Vision Care, P.C. (Downers Grove, 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 Kristina Shpountova's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristina Shpountova accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Oscar Health Insurance and 6 other insurers list Kristina Shpountova 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 Kristina Shpountova was last updated on May 16, 2022. 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.