Active NPI
Kyra Anne Dawson, D.O.
- Surgery Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 34.011867
- Practice address
- 836 W. Wellington Ave
Suite 4800
Chicago, IL 60657 - Phone
- (773) 296-7465
- Fax
- (773) 296-7465
- NPI assigned
- Apr 27, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 036.1443275 | IL | |
| Surgery Physician | 208600000X | 34.011867 | OH | Primary |
Addresses
Primary practice location
836 W. Wellington Ave
Suite 4800
Chicago, IL 60657
Mailing address
836 W. Wellington Ave
Suite 4800
Chicago, IL 60657-5147
Phone (773) 296-7465
Other practice location 1
1460 Orange St
Coshocton, OH 43812-2229
Phone (740) 622-6411
Other practice location 2
1 Wyoming St
Che 6813
Dayton, OH 45409-2722
Phone (937) 208-2485
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0120293 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Ohio University, College of Osteopathic Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
936 State Route 160
Gallipolis, OH 45631-8243
Phone (740) 446-4600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.1443275 | IL | MD | Surgery Physician |
| 34.011867 | OH | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Hospital System Inc | Surgery | Current | Accepting new patients |
| Ohio Valley Physicians Inc | Current | Accepting new patients | |
| Ohio Valley Physicians Inc | Current | Accepting new patients | |
| Lake Hospital System, Inc | Current | Accepting new patients | |
| Lake Hospital System, Inc. | Current | Accepting new patients | |
| University Hospitals Medical Group Inc | Surgery | Current | Accepting new patients |
Locations
3909 Orange Pl
Ste 2100
Beachwood, OH 44122
Phone (216) 896-1800
11100 Euclid Ave
Cleveland Heights, OH 44106
7590 Auburn Rd
Ste 14
Concord Township, OH 44077
Phone (440) 354-1899
936 State Route 160
Gallipolis, OH 45631
Phone (740) 446-4600
10780 Kinsman Rd
Newbury, OH 44065
Phone (440) 564-5656
Interoperability endpoints
- kdawson597820@ehrdirect.uhhospitals.org
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
Surgery
-
- Urgent Care Clinic/Center
- Chardon, OH
- NPI 1689634966
-
- Family Medicine Physician
- Mentor, OH
- NPI 1821253048
-
- Rural Health Clinic/Center
- Eastern, KY
- NPI 1164129599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1447541214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "836 W. WELLINGTON AVE",
"address_2": "SUITE 4800",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606575147",
"telephone_number": "773-296-7465",
"fax_number": "773-296-5570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 W. WELLINGTON AVE",
"address_2": "SUITE 4800",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60657",
"telephone_number": "773-296-7465",
"fax_number": "773-296-7465"
}
],
"practiceLocations": [
{
"address_1": "1460 Orange St",
"address_purpose": "LOCATION",
"city": "Coshocton",
"state": "OH",
"postal_code": "438122229",
"country_code": "US",
"telephone_number": "740-622-6411",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Wyoming St",
"address_2": "CHE 6813",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454092722",
"country_code": "US",
"telephone_number": "937-208-2485",
"fax_number": "937-341-8258",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAWSON",
"first_name": "KYRA",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-27",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036.1443275",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "34.011867",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0120293",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
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 Mar 7, 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.