DR. DIMITRIOS T. MOUGOLIAS (M.D.) – Emergency Medicine Physician, NPI 1053520700
Emergency Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
3,157 EMERGENCY MEDICINE in MI
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Provider Addresses for DR. DIMITRIOS T. MOUGOLIAS (M.D.)
OSF Center for Health - Streator, 111, Spring Street, Streator, LaSalle County, Illinois, 61364, United States
STREATOR, IL 613643332
Phone: (708) 870-8289
Type: Mailing
Henry Ford Hospital, 2799, West Grand Boulevard, New Center, Detroit, Wayne County, Michigan, 48202, United States
DETROIT, MI 482022608
Phone: (313) 916-2060
Type: Location
181 W OLIVE ST
ELMHURST, IL 601263909
Phone: (708) 870-8289
Type: Mailing
801 S MILWAUKEE AVE
LIBERTYVILLE, IL 600483204
Phone: (847) 990-2075
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $16.
Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.
Last reported payment date: 2023-11-13 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($16).
Total Amount
$16
General + Research + Ownership
Payments
1
Total payment records
General Amount
$16
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $16 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-12-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20071228000405 | I | Emergency Medicine | IL | TBD |
| I20090824000666 | I | Emergency Medicine | WI | TBD |
| I20240905000261 | I | Emergency Medicine | TN | TBD |
| I20241216002357 | I | Emergency Medicine | KY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 167 | 167 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 107 | 103 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 60 | 58 | $0 |
| 99291 | Critical care, first 30-74 minutes | 35 | 34 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 29 | 29 | $0 |
Insurance plans in this area (ZIP 61364)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | NY | |
| Emergency Medicine | MI | |
| Emergency Medicine | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Emergency Medicine | SC | |
| Emergency Medicine | MN | |
| Emergency Medicine | IL | |
| Emergency Medicine | MI | |
| Nurse Practitioner | IN |
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