Individual provider Active NPI

Melissa Ann Dugan-Kim, MD

  • Obstetrics & Gynecology Physician
  • Chicago, IL
National Provider Identifier
1144409939
Registry record updated Oct 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
125048926 Issued in IL
Practice address
900 N Kingsbury St
Suite 130-N
Chicago, IL 60610-7432
Phone
(312) 775-1100
Fax
(312) 775-1111
NPI assigned
Oct 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 125048926 IL Primary

Addresses

Primary practice location

900 N Kingsbury St
Suite 130-N
Chicago, IL 60610-7432

Mailing address

900 N Kingsbury St
Suite 130-N
Chicago, IL 60610-7432
Phone (312) 775-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective May 11, 2015 through May 11, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125048926ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Together Women's Health Medical Group of Illinois, PLLC PastSince Jun 24, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dugan-kim.melissa.1@29023.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256256000000",
    "number": "1144409939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N KINGSBURY ST",
            "address_2": "SUITE 130-N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606107432",
            "telephone_number": "312-775-1100",
            "fax_number": "312-775-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N KINGSBURY ST",
            "address_2": "SUITE 130-N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606107432",
            "telephone_number": "312-775-1100",
            "fax_number": "312-775-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGAN-KIM",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-29",
        "last_updated": "2009-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "125048926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.