Active NPI
Kelly Adrienne Mueller, MD
- Dermatology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 036176629
- Practice address
- 3122 N. Ashland Ave
Chicago, IL 60657-3014 - Phone
- (847) 663-8060
- Fax
- (847) 663-1027
- NPI assigned
- Jun 21, 2018
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 292375 | MA | |
| Internal Medicine Physician | 207R00000X | 125.072279 | IL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | NY | ||
| Dermatology Physician | 207N00000X | 036176629 | IL | Primary |
Addresses
Primary practice location
3122 N. Ashland Ave
Chicago, IL 60657-3014
Mailing address
180 Harvester Dr Ste 110
Burr Ridge, IL 60527-6686
Phone (773) 702-1150
Other practice location 1
2650 Ridge Ave Ste 1304
Evanston, IL 60201-1700
Phone (847) 570-4789
Other practice location 2
601 Elmwood Ave
Rochester, NY 14642-1700
Phone (585) 275-0193
Other practice location 3
40 Celebration Dr
Rochester, NY 14642-1700
Phone (585) 275-7546
Other practice location 4
41 Mall Rd
Burlington, MA 01805-1700
Phone (781) 744-8085
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2650 Ridge Ave
Evanston, IL 60201-1700
29 Mall Rd
Burlington, MA 01805-0001
3122 N Ashland Ave
Chicago, IL 60657-3014
Phone (773) 687-0999
41 Mall Rd
Burlington, MA 01805-0001
Phone (781) 744-8771
4901 Searle Pkwy
Suite 150
Skokie, IL 60077-1057
9977 Woods Dr
Skokie, IL 60077-1057
Phone (847) 663-8062
9977 Woods Dr 2ND Floor
Skokie, IL 60077-1057
Phone (847) 663-8370
Hospital & facility affiliations
- Lahey Hospital & Medical Center, Burlington
- Northshore University Healthsystem - Evanston Hospital
- Beth Israel Deaconess Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.98 of 100
- Quality
- 76.59
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 14 |
| Removal of skin lesions | 413 |
| Skin biopsy | 204 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 292375 | MA | MD | Dermatology Physician |
| 125.072279 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Endeavor Health Medical Group | Dermatology | Current | Accepting new patients |
| Lahey Clinic, Inc. | Internal Medicine | Current | Accepting new patients |
| Lahey Clinic, Inc | Internal Medicine | Current | Accepting new patients |
Locations
3122 N Ashland Ave
Chicago, IL 60657
Phone (773) 687-7000
9532 Eagle Way
Chicago, IL 60678
2650 Ridge Ave
Ste 1304
Evanston, IL 60201
Phone (847) 570-1010
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175
2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
480 Maple St
Danvers, MA 01923
Phone (978) 304-8380
15 Railroad Ave
South Hamilton, MA 01982
Phone (978) 468-7381
Interoperability endpoints
- kmueller185559@direct.bilh.masshiway.net
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Peabody, MA
- NPI 1063447316
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Internal Medicine Physician
- Burlington, MA
- NPI 1538194980
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1184670549
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548202641
-
- General Acute Care Hospital
- Burlington, MA
- NPI 1558392563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755475200000",
"number": "1487148458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 HARVESTER DR STE 110",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605276686",
"telephone_number": "773-702-1150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3122 N. ASHLAND AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606573014",
"telephone_number": "847-663-8060",
"fax_number": "847-663-1027"
}
],
"practiceLocations": [
{
"address_1": "2650 Ridge Ave Ste 1304",
"address_purpose": "LOCATION",
"city": "Evanston",
"state": "IL",
"postal_code": "602011700",
"country_code": "US",
"telephone_number": "847-570-4789",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 Elmwood Ave",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146421700",
"country_code": "US",
"telephone_number": "585-275-0193",
"fax_number": "585-275-0022",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "40 Celebration Dr",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146421700",
"country_code": "US",
"telephone_number": "585-275-7546",
"fax_number": "585-461-3509",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "41 Mall Rd",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "MA",
"postal_code": "018051700",
"country_code": "US",
"telephone_number": "781-744-8085",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUELLER",
"first_name": "KELLY",
"middle_name": "ADRIENNE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-21",
"last_updated": "2025-08-18",
"certification_date": "2025-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MA",
"license": "292375",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125.072279",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IL",
"license": "036176629",
"primary": true
}
],
"identifiers": [],
"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 Aug 18, 2025; 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.