CAROLINE JULIA POLSKA MD
NPI 1861078446
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Active since March 23, 2021PECOS Enrolled
1402 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 977-4606(314) 977-7615 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Caroline Julia Polska Md NPPES

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

CAROLINE JULIA POLSKA MD (NPI 1861078446) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1861078446
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCAROLINE JULIA POLSKACredential: MD
Location Address1402 S GRAND BLVDSaint Louis, MO 63104-1004
Mailing Address1402 S Grand BlvdSaint Louis, MO 63104-1004 · (314) 977-4606 · Fax (314) 977-7615
Fax(314) 977-7615
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 23, 2021
NPPES CertifiedMarch 23, 2021
NPI 1861078446 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.
1402 S GRAND BLVD, Saint Louis, MO 63104

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Caroline Julia Polska Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143792374
PECOS Enrollment IDI20260618000832
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.

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.

Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD, M260
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
Anesthesiology
1402 S GRAND BLVD, M260
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
Pathology (Anatomic Pathology & Clinical Pathology)
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
Pathology (Anatomic Pathology & Clinical Pathology)
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
Orthopaedic Surgery
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD
SAINT LOUIS, MO 63104

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 Caroline Polska's NPI number?

The NPI number for Caroline Polska is 1861078446. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Where is Caroline Polska located?

Caroline Polska practices at 1402 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 977-4606.

What is Caroline Polska's specialty?

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

Is Caroline Polska enrolled in Medicare?

Yes. Caroline Polska is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Caroline Polska was last updated on March 23, 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.