Active NPI
Jeffrey S Dungan, M.D.
- Obstetrics & Gynecology Physician
- Chicago, IL
National Provider Identifier
1790795979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 036.116260
- Practice address
- 675 N St Clair Street
Galter Suite 14-200
Chicago, IL 60611-5966 - Phone
- (312) 472-4151
- Fax
- (312) 472-4564
- NPI assigned
- Aug 9, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Genetics (M.D.) Physician | 207SG0201X | K5911 | TX | |
| Obstetrics & Gynecology Physician | 207V00000X | K5911 | TX | |
| Obstetrics & Gynecology Physician | 207V00000X | 036.116260 | IL | Primary |
| Clinical Genetics (M.D.) Physician | 207SG0201X | 036.116260 | IL |
Addresses
Primary practice location
675 N St Clair Street
Galter Suite 14-200
Chicago, IL 60611-5966
Mailing address
250 E Superior Street
Suite 05-2174
Chicago, IL 60611-2914
Phone (312) 472-4683
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.116260 | IL | MD | Obstetrics & Gynecology Physician |
| K5911 | TX | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baylor College of Medicine | Past | Accepting new patients | |
| Baylor College of Medicine | Past | Accepting new patients | |
| Baylor College of Medicine | Obstetrics & Gynecology | Past | Accepting new patients |
Organizations & group practices 3
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
- Houston, TX
- NPI 1104867175
-
- Internal Medicine Physician
- Houston, TX
- NPI 1164463287
-
- Obstetrics & Gynecology Physician
- Houston, TX
- NPI 1972516557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327622400000",
"number": "1790795979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 E SUPERIOR STREET",
"address_2": "SUITE 05-2174",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112914",
"telephone_number": "312-472-4683",
"fax_number": "312-472-4688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 N ST CLAIR STREET",
"address_2": "GALTER SUITE 14-200",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606115966",
"telephone_number": "312-472-4151",
"fax_number": "312-472-4564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNGAN",
"first_name": "JEFFREY",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2012-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207SG0201X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Genetics (M.D.)",
"state": "TX",
"license": "K5911",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "K5911",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "036.116260",
"primary": true
},
{
"code": "207SG0201X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Genetics (M.D.)",
"state": "IL",
"license": "036.116260",
"primary": false
}
],
"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 Jan 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.