MELISSA J. JAMES M.D.
NPI 1538690318
Pediatrics in Addison, IL

Q: What is Melissa James's NPI number?

The NPI number for Melissa James is 1538690318. It was assigned to this individual provider in the NPPES registry on March 23, 2017. The provider is also known as Melissa Gutierrez M.D..

Q: What is Melissa James's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Melissa James was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 23, 2017PECOS Enrolled

1640 W LAKE ST FL 2, ADDISON, IL 60101(630) 543-3020(630) 543-1551 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 25, 2024, Jun 26, 2020, Jan 7, 2020 and 1 more (4 updates tracked since 2017).

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About Melissa J. James M.d. NPPES

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

MELISSA J. JAMES M.D. (NPI 1538690318) is an individual pediatrics provider in Addison, Illinois, licensed in California (A195776) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1538690318

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMELISSA J. JAMESCredential: M.D.

Location Address1640 W LAKE ST FL 2Addison, IL 60101-9917

Mailing AddressPo Box 255228Sacramento, CA 95865-5228 · Fax (630) 543-1551

Phone(630) 543-3020

Fax(630) 543-1551

Sole ProprietorNo

Enumeration DateMarch 23, 2017

Last NPPES UpdateSeptember 25, 20244 updates tracked since enumeration

NPPES CertifiedSeptember 25, 2024

✔ NPI 1538690318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in CA · A195776✔ Licensed in IL · 125070286✔ Licensed in IL · 036152588

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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

1640 W LAKE ST FL 2, Addison, IL 60101

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Other Names 1

Former Name (1)Melissa Gutierrez M.d.

Secondary Practice Locations 2

Location 12160 S 1st Ave, Loyola University Medical CenterMaywood, IL 60153-3328 · Phone (708) 327-9124 · Fax (708) 327-9132

Location 2610 S Maple Ave Ste 3150Oak Park, IL 60304-1099 · Phone (708) 383-3853 · Fax (708) 383-7498

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa J. James M.d. 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 Reassignment

Medicare enrollment records show Melissa James reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sutter Valley Medical Foundation

1,767 mi

Multi-Specialty

600 COFFEE RD
Modesto, CA 95355

Reassigned Medicare billing, California enrollment
3,056 clinicians in this Medicare group

NPI 1669846986 (209) 524-1211

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 60101 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

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

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.

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 Melissa James's NPI number?

The NPI number for Melissa James is 1538690318. It was assigned to this individual provider in the NPPES registry on March 23, 2017. The provider is also known as Melissa Gutierrez M.D..

Where is Melissa James located?

Melissa James practices at 1640 W Lake St Fl 2, Addison, IL 60101. The listed phone number is (630) 543-3020.

What is Melissa James's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Melissa James enrolled in Medicare?

Yes. Melissa James is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Melissa James's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa James reassigns Medicare benefits to Sutter Valley Medical Foundation (Modesto, CA). The 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 Melissa James's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Melissa James was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.