DESTINY KELLAM MD
NPI 1033853650
Emergency Medicine - Hospice and Palliative Medicine in Chicago, IL

Q: What is Destiny Kellam's NPI number?

The NPI number for Destiny Kellam is 1033853650. It was assigned to this individual provider in the NPPES registry on April 21, 2022.

Q: What is Destiny Kellam's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207PH0002X.

Q: When was this NPI record last updated?

The NPPES record for Destiny Kellam was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.

Active since April 21, 2022PECOS Enrolled

5841 S MARYLAND AVE STE MC6098, CHICAGO, IL 60637(855) 702-8222 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2025, Apr 21, 2022 (2 updates tracked since 2022).

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About Destiny Kellam Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESTINY KELLAM MD (NPI 1033853650) is an individual hospice and palliative medicine provider in Chicago, Illinois, licensed in Illinois (036.174599) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Wayne State University School Of Medicine (2022).

NPPES Registry Identity

NPI1033853650

Entity TypeIndividualFemale

Primary Taxonomy207PH0002X

Provider Legal NameDESTINY KELLAMCredential: MD

Location Address5841 S MARYLAND AVE STE MC6098Chicago, IL 60637-1448

Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686 · (773) 702-1150

Phone(855) 702-8222

Sole ProprietorYes

Medical School CMSWayne State University School Of MedicineGraduated 2022

Enumeration DateApril 21, 2022

Last NPPES UpdateFebruary 19, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 19, 2026

✔ NPI 1033853650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207PH0002X

License✔ Licensed in IL · 036.174599

Definition

An emergency medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 036-174599 (IL)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

5841 S MARYLAND AVE STE MC6098, Chicago, IL 60637

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Secondary Practice Location 1

Location 12320 E 93rd StChicago, IL 60617-3909 · Phone (773) 967-5430 · Fax (773) 967-4205

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Destiny Kellam Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002295540

PECOS Enrollment IDI20260121002914

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60637 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RAHBIA HUSSEIN MD

Internal Medicine