Mary A Dougal, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036059569 Issued in IL

Practice address

7421 N Milwaukee Ave
Niles, IL 60714-3707

Phone

(773) 775-0811

Fax

(773) 819-7013

NPI assigned

Nov 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Ophthalmology

Education

Loyola University of Chicago, Stritch School of Medicine, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Milwaukee Avenue Eye Center, S.C.Group PAC ID 1456489228, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.01 of 100Reported as group

Quality

89.19

Improvement activities

40

Cost

77.77

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Milwaukee Avenue Eye Center, S.C.

  • Ophthalmology Physician
  • Niles, IL
  • NPI 1760558464
  Medicare reassignment Care Compare group
• Ma Optical, PLLC

  • Optometrist
  • Niles, IL
  • NPI 1992441216
  NPD

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1740358886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7421 N MILWAUKEE AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143707",
            "telephone_number": "773-993-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7421 N MILWAUKEE AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143707",
            "telephone_number": "773-775-0811",
            "fax_number": "773-819-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGAL",
        "first_name": "MARY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036059569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036059569",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "16202167",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Nora Djoum, OD
• Dma Nutriton Inc
• Margaret Marie Dolan, M.D.
• Ira J Dolnick, D.D.S.
• Eugene Donchev Donchev, CSA
• Dr John D McMahon LTD
• Dr. Katz & Dr. Dolnick
• Dr. Swartz Imaging of Illinois (National Medical Imaging)
• Jennifer L. Drajpuch, MA
• DRS. Katz and Dolnick, P.C.

• Ophthalmology Physician in Niles, IL
• Providers in Niles, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.

Verify at the official NPI Registry.