JILLIAN A. POLONCHAK AGACNP-BC
NPI 1942850888
Anesthesiology - Critical Care Medicine in Los Angeles, CA

Q: What is Jillian Polonchak's NPI number?

The NPI number for Jillian Polonchak is 1942850888. It was assigned to this individual provider in the NPPES registry on September 12, 2019. The provider is also known as Jill A. Schimke Agacnp-Bc.

Q: What is Jillian Polonchak's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Critical Care Medicine, with taxonomy code 207LC0200X.

Q: When was this NPI record last updated?

The NPPES record for Jillian Polonchak was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since September 12, 2019PECOS Enrolled

1520 SAN PABLO ST STE 3000, LOS ANGELES, CA 90033(323) 442-5710 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 9, 2020, Nov 25, 2019, Sep 12, 2019 (3 updates tracked since 2019).

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About Jillian A. Polonchak Agacnp-bc NPPES

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

JILLIAN A. POLONCHAK AGACNP-BC (NPI 1942850888) is an individual critical care medicine provider in Los Angeles, California, licensed in Maryland (R256994) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1942850888

Entity TypeIndividualFemale

Primary Taxonomy207LC0200X

Provider Legal NameJILLIAN A. POLONCHAKCredential: AGACNP-BC

Location Address1520 SAN PABLO ST STE 3000Los Angeles, CA 90033-5315

Mailing Address6201 Greenleigh Ave Fl 2Middle River, MD 21220-2004 · (410) 933-2704

Phone(323) 442-5710

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateSeptember 12, 2019

Last NPPES UpdateOctober 24, 20243 updates tracked since enumeration

NPPES CertifiedOctober 24, 2024

✔ NPI 1942850888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207LC0200X

License✔ Licensed in MD · R256994

Definition

An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License NP95012773 (CA)

1520 SAN PABLO ST STE 3000, Los Angeles, CA 90033

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Other Names 1

Former Name (1)Jill A. Schimke Agacnp-bc

Secondary Practice Location 1

Location 11800 Orleans StBaltimore, MD 21287-0010 · Phone (410) 955-8893

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jillian A. Polonchak Agacnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426380981

PECOS Enrollment IDI20230111001495

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.

Areas of Expertise CMS Part B claims 2

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

21 services21 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

16 services16 patients

Hospital Affiliations CMS Care Compare

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

Johns Hopkins Hospital, The

Acute Care Hospitals · Baltimore, MD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210009

Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County

Emergency services Birthing friendly

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.

DR. RYAN JAMES MCGINN MD, MASC, FRCP(C)

Psychiatry & Neurology (Neurology)