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

Q: 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.

Q: What is Danielle Dougherty's specialty?

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

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: August 02, 2026.

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

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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

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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

Medicare Participation & PECOS CMS

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

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.

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)