MELISSA MAGALLANES MD
NPI 1073075479
Pediatrics - Developmental - Behavioral Pediatrics in Oak Lawn, IL

Q: What is Melissa Magallanes's NPI number?

The NPI number for Melissa Magallanes is 1073075479. It was assigned to this individual provider in the NPPES registry on April 3, 2019.

Q: What is Melissa Magallanes's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Active since April 03, 2019PECOS Enrolled

9555 S 52ND AVE, OAK LAWN, IL 60453(847) 318-9330(708) 876-9330 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 8, 2025, Jul 15, 2022, Jun 17, 2019 and 1 more (4 updates tracked since 2019).

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About Melissa Magallanes Md NPPES

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

MELISSA MAGALLANES MD (NPI 1073075479) is an individual developmental - behavioral pediatrics provider in Oak Lawn, Illinois, licensed in Illinois (036-174564) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Aurora, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2019).

NPPES Registry Identity

NPI1073075479

Entity TypeIndividualFemale

Primary Taxonomy2080P0006X

Provider Legal NameMELISSA MAGALLANESCredential: MD

Location Address9555 S 52ND AVEOak Lawn, IL 60453-3054

Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900

Phone(847) 318-9330

Fax(708) 876-9330

Sole ProprietorNo

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2019

Enumeration DateApril 3, 2019

Last NPPES UpdateOctober 21, 20254 updates tracked since enumeration

NPPES CertifiedOctober 21, 2025

✔ NPI 1073075479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians

Taxonomy Code2080P0006X

License✔ Licensed in IL · 036-174564

Definition

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

Also ListedPediatricsTaxonomy 208000000X · License DR.0068723 (CO)

9555 S 52ND AVE, Oak Lawn, IL 60453

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Secondary Practice Location 1

Location 113123 E 16th AveAurora, CO 80045-7106 · Phone (303) 724-5808

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID2860874385

PECOS Enrollment IDI20250815001703

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.

Other Providers at the Same Location NPPES 20

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

ELIZABETH M PAYMENT MD

Family Medicine