Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Elijah Michael Poulos, MD

Individual provider Internal Medicine Physician · NPI 1386871325

Dr. Elijah Michael Poulos, MD is a Critical Care (Intensivists) in Prescott, Arizona. Graduated from Louisiana State University School of Medicine in New Orleans in 2009, 17 years ago. Practices with Critical Care Consultants of Arizona PLLC, an 8-clinician group, works from 6 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
17
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
AZ
In the registry since
2009
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1003 Willow Creek Rd
Prescott, AZ 86301-1641
Phone: (928) 773-0003
Fax: (928) 773-1170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 1200 N Beaver St, Flagstaff, AZ 86001-3118 — (928) 773-0003
  • 1360 N Rim Dr, Flagstaff, AZ 86001-3111 — (928) 774-8000
  • 1003 Willow Creek Rd, Prescott, AZ 86301-1641 — (928) 773-0003
  • 7700 E Florentine Rd, Prescott Valley, AZ 86314-2245 — (928) 773-0003
  • 7700 E Florentine Rd, Prescott Valley, AZ 86314-2245 — (928) 773-0003

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence 46193 (AZ)
Internal Medicine Physician Taxonomy 207R00000X · Licence R71506 (AZ)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 46193 (AZ)

Record details

NPI number1386871325
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 17, 2009
Last updated in NPPESAugust 20, 2024
Certification dateAugust 20, 2024
Mailing addressPo Box 967, Flagstaff, AZ 86002-0967

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCRITICAL CARE (INTENSIVISTS)
Also practisesPULMONARY DISEASE
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 2009 (17 years in practice)
Group practice Critical Care Consultants Of Arizona Pllc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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