MICHAEL POULSON
NPI 1992236111
Surgery - Trauma Surgery in Chicago, IL

Active since March 21, 2017PECOS Enrolled
5841 S MARYLAND AVE, CHICAGO, IL 60637(888) 824-0200 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 5, 2026, Mar 21, 2017 (2 updates tracked since 2017).

About Michael Poulson NPPES

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

MICHAEL POULSON (NPI 1992236111) is an individual trauma surgery provider in Chicago, Illinois, licensed in Illinois (036168780) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (2017).

NPPES Registry Identity

NPI1992236111
Entity TypeIndividualMale
Primary Taxonomy2086S0127X
Provider Legal NameMICHAEL POULSON
Location Address5841 S MARYLAND AVEChicago, IL 60637-1443
Mailing Address150 Harvester Dr Ste 300Burr Ridge, IL 60527-5965
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2017
Enumeration DateMarch 21, 2017
Last NPPES UpdateJanuary 5, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2026
NPI 1992236111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0127X
License Licensed in IL · 036168780
Definition
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
5841 S MARYLAND AVE, Chicago, IL 60637

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Michael Poulson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830465616
PECOS Enrollment IDI20260110000235
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.

Radiology (Diagnostic Radiology)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Neurological Surgery
5841 S MARYLAND AVE
CHICAGO, IL 60637
Pathology (Hematology)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Internal Medicine (Pulmonary Disease)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Internal Medicine (Pulmonary Disease)
5841 S MARYLAND AVE
CHICAGO, IL 60637

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 Michael Poulson's NPI number?

The NPI number for Michael Poulson is 1992236111. It was assigned to this individual provider in the NPPES registry on March 21, 2017.

Where is Michael Poulson located?

Michael Poulson practices at 5841 S Maryland Ave, Chicago, IL 60637. The listed phone number is (888) 824-0200.

What is Michael Poulson's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

Is Michael Poulson enrolled in Medicare?

Yes. Michael Poulson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Poulson was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.