Individual provider Active NPI

Sue Ann Hungerford, MD

  • Obstetrics & Gynecology Physician
  • Chicago, IL
National Provider Identifier
1750347373
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036-072814 Issued in IL
Practice address
30 N Michigan Ave
Suite 607
Chicago, IL 60602-3402
Phone
(312) 726-3917
Fax
(312) 726-0474
NPI assigned
Apr 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036.072814 IL
Obstetrics & Gynecology Physician 207V00000X 036-072814 IL Primary

Addresses

Primary practice location

30 N Michigan Ave
Suite 607
Chicago, IL 60602-3402

Mailing address

9550 Lincolnwood Dr
Evanston, IL 60203-1116
Phone (847) 363-9400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20250530001238 WV Practitioner - Obstetrics/Gynecology 2062471071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Virginia University Medical CorporationGroup PAC ID 1052224565, 1,974 clinicians

Practice addresses (Care Compare)

880 N Tennessee Ave
Suite 105
Martinsburg, WV 25401-9401
Phone (304) 264-8603

Hospital & facility affiliations

  • Berkeley Medical Center Hospital, Martinsburg, WV, CCN 510008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-072814ILMDObstetrics & Gynecology Physician
036.072814ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City Hospital, Inc. Obstetrics & Gynecology CurrentSince May 21, 2025 Accepting new patients
West Virginia University Medical Corporation CurrentSince May 21, 2025 Accepting new patients
West Virginia University Medical Corporation Obstetrics & Gynecology CurrentSince May 21, 2025 Accepting new patients
City Hospital Inc Current Accepting new patients
City Hospital Inc Obstetrics & Gynecology PastSince May 11, 2025 Accepting new patients
Karen L. Jaffe Psy.D. LTD Past Accepting new patients

Locations

880 N Tennessee Ave
Ste 105A
Martinsburg, WV 25401
Phone (304) 596-2149

880 N Tennessee Ave
Ste 105
Martinsburg, WV 25401
Phone (304) 264-8603

2500 Hospital Dr
Martinsburg, WV 25401
Phone (304) 233-4134

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1750347373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9550 LINCOLNWOOD DR",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602031116",
            "telephone_number": "847-363-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE",
            "address_2": "SUITE 607",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023402",
            "telephone_number": "312-726-3917",
            "fax_number": "312-726-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNGERFORD",
        "first_name": "SUE",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-22",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036.072814",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036-072814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.