Active NPI
Melissa S Pessin, M.D., PH.D.
- Clinical Pathology/Laboratory Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology/Laboratory Medicine Physician
- License
- 036.159640
- Practice address
- 5841 S Maryland Ave
Chicago, IL 60637-1443 - Phone
- (773) 795-4866
- Fax
- (773) 702-9082
- NPI assigned
- Oct 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Blood Banking & Transfusion Medicine Physician | 207ZB0001X | 193483 | NY | |
| Blood Banking & Transfusion Medicine Physician | 207ZB0001X | 036.159640 | IL | |
| Clinical Informatics (Pathology) Physician | 207ZC0008X | 036.159640 | IL | |
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | 193483 | NY | |
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | 036.159640 | IL | Primary |
Addresses
Primary practice location
5841 S Maryland Ave
Chicago, IL 60637-1443
Mailing address
5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (773) 795-4866
Other names 1
- Dr. Melissa S Pessin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Johns Hopkins University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10855 Virginia St
Suite 1600
Crown Point, IN 46307-0210
Phone (888) 824-0200
5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (888) 824-0200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.159640 | IL | MD | Blood Banking & Transfusion Medicine Physician |
| 193483 | NY | MD | Blood Banking & Transfusion Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hematology Lymphoma Group | Current | Accepting new patients | |
| University of Chicago | Current | Accepting new patients | |
| The University of Chicago Medical Center | Current | Accepting new patients | |
| The University of Chicago Medical Center | Current | Accepting new patients | |
| Memorial Hematology Lymphoma Group | Current | Accepting new patients | |
| Weill Medical College of Cornell | Past | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Past | Accepting new patients | |
| Mount Sinai School of Medicine | Past | Accepting new patients |
Locations
150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061
350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500
120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700
10855 Virginia St
Ste 1600
Crown Point, IN 46307
1500 S Lake Park Ave
Ste 109
Hobart, IN 46342
Phone (219) 942-0551
633 3rd Ave
Lbby 3
New York, NY 10017
Phone (848) 225-6000
1275 York Ave
#S317
New York, NY 10065
1275 York Ave
New York, NY 10065
Phone (212) 639-3813
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- mpessin231356@uchospital.direct-ci.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1033218128
-
- Hematology & Oncology Physician
- New York, NY
- NPI 1891766366
-
- Community/Retail Pharmacy
- Calumet City, IL
- NPI 1255895678
-
- Medical Oncology Physician
- New York, NY
- NPI 1245945021
-
- Specialty Pharmacy
- New York, NY
- NPI 1629410816
-
- Clinical Medical Laboratory
- New York, NY
- NPI 1215181458
-
- Clinical Medical Laboratory
- New York, NY
- NPI 1932203346
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1508956509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680566400000",
"number": "1083704753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5841 S MARYLAND AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606371443",
"telephone_number": "773-795-4866",
"fax_number": "773-702-9082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5841 S MARYLAND AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606371443",
"telephone_number": "773-795-4866",
"fax_number": "773-702-9082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PESSIN",
"first_name": "MELISSA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2023-04-04",
"certification_date": "2023-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207ZB0001X",
"taxonomy_group": "",
"desc": "Pathology, Blood Banking & Transfusion Medicine",
"state": "NY",
"license": "193483",
"primary": false
},
{
"code": "207ZB0001X",
"taxonomy_group": "",
"desc": "Pathology, Blood Banking & Transfusion Medicine",
"state": "IL",
"license": "036.159640",
"primary": false
},
{
"code": "207ZC0008X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Informatics",
"state": "IL",
"license": "036.159640",
"primary": false
},
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "NY",
"license": "193483",
"primary": false
},
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "IL",
"license": "036.159640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "PESSIN",
"middle_name": "S",
"prefix": "DR.",
"credential": "M.D., PH.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.