DR. CARLETHA CAROL HUGHES MD
NPI 1023249075
Pediatrics in Chicago, IL
About Dr. Carletha Carol Hughes Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CARLETHA CAROL HUGHES MD (NPI 1023249075) is an individual pediatrics provider in Chicago, Illinois, licensed in Illinois (125053483) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Carletha Carol Hughes Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Carletha Hughes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chicago, IL 60649
- Reassigned Medicare billing, Illinois enrollment
- 49 clinicians in this Medicare group
Chicago Heights, IL 60411
- Reassigned Medicare billing, Illinois enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60617 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Carletha Hughes's NPI number?
The NPI number for Carletha Hughes is 1023249075. It was assigned to this individual provider in the NPPES registry on August 6, 2009.
Where is Carletha Hughes located?
Carletha Hughes practices at 9016 S. Cornell Avenue, Chicago, IL 60617. The listed phone number is (773) 983-3948.
What is Carletha Hughes's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Carletha Hughes enrolled in Medicare?
Yes. Carletha Hughes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Carletha Hughes's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carletha Hughes reassigns Medicare benefits to 2 organizations: Friedell Clinic, S. C. (Chicago, IL) and Suburban Pediatrics Medical Center, LLC (Chicago Heights, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carletha Hughes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carletha Hughes accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Carletha Hughes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Carletha Hughes was last updated on November 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Carletha Carol Hughes, MD · NPI 1023249075
Pediatrics physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since August 6, 2009.
## Identity
- **NPI:** 1023249075 (Entity type: Individual)
- **Enumerated:** August 6, 2009
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 125053483 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9016 S. CORNELL AVENUE, Chicago, IL 60617-3504
- **Phone:** (773) 983-3948
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Friedell Clinic, S. C. (NPI 1306854021, Chicago, IL); Suburban Pediatrics Medical Center, LLC (NPI 1346764438, Chicago Heights, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** November 17, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1023249075) · Data from the CMS NPPES public registry.