Active NPI
Melissa Marie Dubert Hill, M.D.
- Pediatrics Physician
- Ottawa, IL
National Provider Identifier
1902246309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036.140899
- Practice address
- 1306 Gemini Cir Ste 1
Ottawa, IL 61350-1695 - Phone
- (815) 433-9200
- Fax
- (815) 705-1716
- NPI assigned
- Jun 28, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036.140899 | IL | Primary |
Addresses
Primary practice location
1306 Gemini Cir Ste 1
Ottawa, IL 61350-1695
Mailing address
725 School St Ste a
Morris, IL 60450-1207
Phone (815) 941-9124
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036140899 | Medicaid | IL | |
| 036.140899 | Other | IL | IL LICENSE |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150603003118 | IL | Order and Referring Only - Pediatric Medicine | 2769703669 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.140899 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morris Hospital | Past | Accepting new patients | |
| Morris Hospital | Past | Accepting new patients |
Interoperability endpoints
- melissa.hill@direct-address.org
Organizations & group practices 2
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.
-
- General Practice Physician
- Channahon, IL
- NPI 1275648511
-
- Health Service Clinic/Center
- Morris, IL
- NPI 1376658658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622678400000",
"number": "1902246309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 SCHOOL ST STE A",
"city": "MORRIS",
"state": "IL",
"postal_code": "604501207",
"telephone_number": "815-941-9124",
"fax_number": "815-941-4363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1306 GEMINI CIR STE 1",
"city": "OTTAWA",
"state": "IL",
"postal_code": "613501695",
"telephone_number": "815-433-9200",
"fax_number": "815-705-1716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "MELISSA",
"middle_name": "MARIE DUBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-28",
"last_updated": "2021-06-03",
"certification_date": "2021-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036.140899",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036140899",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL LICENSE",
"identifier": "036.140899",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ottawa, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.