Individual provider Active NPI

Kyra Anne Dawson, D.O.

  • Surgery Physician
  • Chicago, IL
National Provider Identifier
1447541214
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
34.011867 Issued in OH
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

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0120293MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180627003558 OH Practitioner - General SurgeryPractitioner - General Practice 6901034628 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: General Practice
Education
Ohio University, College of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Valley Physicians IncGroup PAC ID 8729032966, 130 clinicians

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

LicenseStateTypeSpecialty
036.1443275ILMDSurgery Physician
34.011867OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Hospital System Inc Surgery Current Accepting new patients
Ohio Valley Physicians Inc CurrentSince Sep 15, 2025 Accepting new patients
Ohio Valley Physicians Inc CurrentSince Sep 15, 2025 Accepting new patients
Lake Hospital System, Inc CurrentSince Jul 27, 2020 Accepting new patients
Lake Hospital System, Inc. CurrentSince Jul 27, 2020 Accepting new patients
University Hospitals Medical Group Inc Surgery CurrentSince Aug 1, 2018 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.