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DR. SUZANNE KELLMAN DMD
NPI 1356726806
Dentist - General Practice in Chicago, IL

Active since July 27, 2015PECOS Enrolled
2611 W CHICAGO AVE, CHICAGO, IL 60622(773) 969-5934 Get Directions Write a Review

NPPES record last updated: December 27, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 27, 2022, Dec 1, 2021 (2 updates tracked since 2021).

About Dr. Suzanne Kellman Dmd NPPES

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

DR. SUZANNE KELLMAN DMD (NPI 1356726806) is an individual general practice provider in Chicago, Illinois, licensed in Illinois (019.030342) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Niles.

NPPES Registry Identity

NPI1356726806
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SUZANNE KELLMANCredential: DMD
Location Address2611 W CHICAGO AVEChicago, IL 60622-4519
Mailing Address9250 Tripp AveSkokie, IL 60076-1635
Phone(773) 969-5934
Sole ProprietorNo
Enumeration DateJuly 27, 2015
Last NPPES UpdateDecember 27, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2022
✔ NPI 1356726806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019.030342
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2611 W CHICAGO AVE, Chicago, IL 60622
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Secondary Practice Location 1

Location 18321 W Golf RdNiles, IL 60714-1113 · Phone (847) 720-3504 · Fax (224) 251-7476

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield and more.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. Suzanne Kellman Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Suzanne Kellman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Asian Human Services Family Health Center, Inc
6.6 mi
Federally Qualified Health Center (FQHC)
2501 W PETERSON AVE
Chicago, IL 60659
  • Reassigned Medicare billing, Illinois enrollment
  • 23 clinicians in this Medicare group
NPI 1609201060 (773) 761-0300
County Of Lake
21 mi
Federally Qualified Health Center (FQHC)
1840 GREEN BAY RD
Highland Park, IL 60035
  • Reassigned Medicare billing, Illinois enrollment
  • 151 clinicians in this Medicare group
NPI 1285663328 (847) 984-5300

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 60622 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
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

HOLLIS S LIGHT PT
Physical Therapist
2611 W CHICAGO AVE
CHICAGO, IL 60622
Cook County (773) 395-9900
CAROL KROHM MD
Family Medicine
2611 W CHICAGO AVE
CHICAGO, IL 60622
Cook County (773) 395-9901
COMMUNITYHEALTH
Clinic/Center (Community Health)
2611 W CHICAGO AVE
CHICAGO, IL 60622
Cook County (773) 395-9901
MS. RACHEL BENNETT RN
Registered Nurse (Community Health)
2611 W CHICAGO AVE
CHICAGO, IL 60622
Cook County (773) 969-5933
DR. BABS WALDMAN M.D.
Internal Medicine
2611 W CHICAGO AVE
CHICAGO, IL 60622
Cook County (773) 395-9900
MS. EMILY MARIE HENDEL CNP, MS
Nurse Practitioner (Family)
2611 W CHICAGO AVE
CHICAGO, IL 60622
Cook County (773) 395-9900
ROMAN MOVSISYAN MD
Student in an Organized Health Care Education/Training Program
2611 W CHICAGO AVE
CHICAGO, IL 60622
Cook County (773) 395-9900
MS. MAGDA SAEZ
Registered Nurse
2611 W CHICAGO AVE
CHICAGO, IL 60622
Cook County (773) 395-9900

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 Suzanne Kellman's NPI number?

The NPI number for Suzanne Kellman is 1356726806. It was assigned to this individual provider in the NPPES registry on July 27, 2015.

Where is Suzanne Kellman located?

Suzanne Kellman practices at 2611 W Chicago Ave, Chicago, IL 60622. The listed phone number is (773) 969-5934.

What is Suzanne Kellman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Suzanne Kellman enrolled in Medicare?

Yes. Suzanne Kellman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Suzanne Kellman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Suzanne Kellman reassigns Medicare benefits to 2 organizations: Asian Human Services Family Health Center, Inc (Chicago, IL) and County Of Lake (Highland Park, 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 Suzanne Kellman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Suzanne Kellman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Montana and 9 other insurers list Suzanne Kellman 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 Suzanne Kellman was last updated on December 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.