DR. LYUDMYLA POLUPAN (M.D.) – Anesthesiology Physician, NPI 1790091809

DR. LYUDMYLA POLUPAN (M.D.) is a healthcare provider. based in Buffalo grove, Illinois. specializing in PAIN MANAGEMENT, ANESTHESIOLOGY, INTERVENTIONAL PAIN MANAGEMENT. They hold the professional credentials M.D.. They hold a License No. 036126431 (IL). The NPI Number for DR. LYUDMYLA POLUPAN (M.D.) is 1790091809

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. LYUDMYLA POLUPAN (M.D.)
NPI
1790091809
Phone
Not provided
Address
109 E FOX HILL DR
Enumeration Date
26 August 2010
Last Update Date
26 August 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7739891606
Graduation Year
1996 (30 years ago)
PAC ID
6507020740
Group Practice PAC ID
2163334699
Professional Enrollment ID
I20120619000506
Address ID
IL606253661CH5145XAVEX405
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

483 PAIN MANAGEMENT in IL

Provider Addresses for DR. LYUDMYLA POLUPAN (M.D.)

  • 109 E FOX HILL DR

    BUFFALO GROVE, IL 600891519

    Phone:

    Type: Mailing

  • 1901 W HARRISON ST

    CHICAGO, IL 606123714

    Phone: (312) 864-6000

    Type: Location

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-06-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120619000506IAnesthesiologyILTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00537Anesthesia for procedure to assess heart electrical activity1515$0
View full utilization report →

Insurance plans in this area (ZIP 60089)

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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: 2163334699View full group profile
NameSpecialtyState
-IL
E N D O C R I N O L O G YIL
N E U R O L O G YIL
Hospitalist, Internal MedicineIL
O P H T H A L M O L O G YIL
-IL
E N D O C R I N O L O G YIL
Cardiovascular Disease (Cardiology), Interventional CardiologyIL
Clinical Social WorkerIL
Certified Nurse Midwife (Cnm)IL

Reviews

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Frequently asked questions

What is the standard ID for DR. LYUDMYLA POLUPAN (M.D.) in the U.S.?
In the U.S., DR. LYUDMYLA POLUPAN (M.D.) is identified by NPI 1790091809.
Is DR. LYUDMYLA POLUPAN (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. LYUDMYLA POLUPAN (M.D.) as active.
What type of care does DR. LYUDMYLA POLUPAN (M.D.) provide?
DR. LYUDMYLA POLUPAN (M.D.)'s profile centers on Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. LYUDMYLA POLUPAN (M.D.)?
The directory associates DR. LYUDMYLA POLUPAN (M.D.) with Buffalo Grove, Illinois. Check all listed addresses for suites or satellite offices.
Why is information missing for DR. LYUDMYLA POLUPAN (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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