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DR. DANIELLE DOUGHERTY MD
NPI 1285017905
Surgery - Pediatric Surgery in Chicago, IL

Active since June 30, 2015PECOS Enrolled
5841 S MARYLAND AVE, CHICAGO, IL 60637(888) 824-0200 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 2, 2025, Aug 17, 2023, Dec 19, 2022 and 1 more (4 updates tracked since 2020).

About Dr. Danielle Dougherty Md NPPES

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

DR. DANIELLE DOUGHERTY MD (NPI 1285017905) is an individual pediatric surgery provider in Chicago, Illinois, licensed in Illinois (036176992) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Michigan Medical School (2015).

NPPES Registry Identity

NPI1285017905
Entity TypeIndividualFemale
Primary Taxonomy2086S0120X
Provider Legal NameDR. DANIELLE DOUGHERTYCredential: MD
Location Address5841 S MARYLAND AVEChicago, IL 60637-1443
Mailing Address150 Harvester Dr Ste 300Burr Ridge, IL 60527-5965
Phone(888) 824-0200
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2015
Enumeration DateJune 30, 2015
Last NPPES UpdateDecember 2, 20254 updates tracked since enumeration
NPPES CertifiedDecember 2, 2025
✔ NPI 1285017905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in IL · 036176992
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
5841 S MARYLAND AVE, Chicago, IL 60637
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1282 Washington StHartford, CT 06106-3322 · Phone (860) 545-9520
Location 24440 W 95th St Ste 1332HOak Lawn, IL 60453-2600 · Phone (708) 684-2016 · Fax (708) 684-4808

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Danielle Dougherty Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133544463
PECOS Enrollment IDI20251105001343
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Danielle Dougherty reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The University Of Chicago Medical Center
Same address
General Acute Care Hospital
5841 S MARYLAND AVE
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 1,905 clinicians in this Medicare group
NPI 1033218128 (773) 702-1530
University Of Chicago
Same address
Multi-Specialty
5841 S MARYLAND AVE, UCPG/MC 1099
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 2,237 clinicians in this Medicare group
NPI 1821048786 (773) 702-9200
Advocate Health & Hospitals Corporation
8.1 mi
Medical Specialty
4440 W 95TH ST
Oak Lawn, IL 60453
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Advocate Health And Hospitals Corporation
  • 4,870 clinicians in this Medicare group
NPI 1912936014 (847) 390-5900
Regents Of The University Of Michigan
170 mi
Pediatric Cardiology
1200 E MICHIGAN AVE, SUITE 725
Lansing, MI 48912
  • Reassigned Medicare billing, Michigan enrollment
  • 2,377 clinicians in this Medicare group
NPI 1174809826 (517) 364-5599

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. DON MARTINEZ M.D.
Radiology (Diagnostic Radiology)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (773) 926-8318
ALEXANDRA DUMITRESCU
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (888) 824-0200
PELEG HOROWITZ
Neurological Surgery
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (888) 824-0200
SANDEEP GURBUXANI
Pathology (Hematology)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (888) 824-0200
DR. NIREN GANDRA M.D.
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (773) 702-0240
ALLIE DAKROUB MD MS
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (773) 702-1000
SCOTT VASHER MD
Internal Medicine (Pulmonary Disease)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (773) 702-1000
DR. NATHAN CHARLES NOWALK M.D.
Internal Medicine (Pulmonary Disease)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (888) 824-0200

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 Danielle Dougherty's NPI number?

The NPI number for Danielle Dougherty is 1285017905. It was assigned to this individual provider in the NPPES registry on June 30, 2015.

Where is Danielle Dougherty located?

Danielle Dougherty practices at 5841 S Maryland Ave, Chicago, IL 60637. The listed phone number is (888) 824-0200.

What is Danielle Dougherty's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Danielle Dougherty enrolled in Medicare?

Yes. Danielle Dougherty is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Danielle Dougherty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Danielle Dougherty reassigns Medicare benefits to 4 organizations: The University Of Chicago Medical Center (Chicago, IL), University Of Chicago (Chicago, IL), Advocate Health & Hospitals Corporation (Oak Lawn, IL) and Regents Of The University Of Michigan (Lansing, MI). 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 Danielle Dougherty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Danielle Dougherty accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Danielle Dougherty 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 Danielle Dougherty was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.