NICHOLAS E POULOS (MD) – Neurological Surgery Physician, NPI 1144258310

Neurological Surgery Physician

NICHOLAS E POULOS (MD) is a healthcare provider. based in Belleville, Illinois. specializing in Neurological Surgery Physician. They hold the professional credentials MD. They hold a License No. 036115133 (IL). The NPI Number for NICHOLAS E POULOS (MD) is 1144258310

Main info

Male

38 Years Of Experience

Accepts Medicare Assignment

Name

NICHOLAS E POULOS (MD)

NPI

1144258310

Phone

(618) 222-1341

Address

340 W LINCOLN ST

Enumeration Date

28 June 2006

Last Update Date

10 March 2011

Doctor Profile

Medical School Name

GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE

Secondary Phone

6186245510

Graduation Year

1988 (38 years ago)

PAC ID

2163439555

Group Practice PAC ID

5092857821

Professional Enrollment ID

I20060309000305

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for NICHOLAS E POULOS (MD)

340, West Lincoln Street, Belleville, Saint Clair County, Illinois, 62220, United States
SUITE 540
BELLEVILLE, IL 622201900
Phone: (618) 222-1341
Fax: (618) 222-1487
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62220)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 5092857821View full group profile

Name	Specialty	State
WILLIAM R YU (MD)	-	IL
ANDREW ROBERT GAGE (M.D.)	Family Practice	IL
DR. PRAVEEN KUMAR SAMPATH (MD)	G A S T R O E N T E R O L O G Y	TX
DR. NANTHINI SUTHAN (M.D)	Internal Medicine	IL
DR. PAUL E LOETHEN (MD)	General Surgery	IL
MARY CRISLER	-	IL
PROF. SIDNEY P ROHRSCHEIB (M.D.)	General Surgery	IL
DR. STEVEN ALLEN TAYLOR (M.D.)	Family Practice	IL
DEBORAH L PULLIAM (APRN, CNP)	-	IL
RENATO BACOL RIVERA (M.D.)	-	IL

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Frequently asked questions

Does NICHOLAS E POULOS (MD) share an NPI with anyone else?

NPI numbers are unique to each provider or organization — NICHOLAS E POULOS (MD) uses 1144258310.

Does the file indicate NICHOLAS E POULOS (MD) is practicing under active NPI?

Directory data currently reports NICHOLAS E POULOS (MD) as active.

What healthcare role does NICHOLAS E POULOS (MD) hold?

Scheduling teams often label NICHOLAS E POULOS (MD) under Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.

What area does NICHOLAS E POULOS (MD) serve?

NICHOLAS E POULOS (MD)'s listing highlights Belleville, Illinois; more addresses can appear in NPPES.

How many locations tie to this NPI?

2 practice locations appear in the available data.