MELINDA ALISA AMORNWICHET MD
NPI 1619555489
Pediatrics in Chicago, IL

Q: What is Melinda Amornwichet's NPI number?

The NPI number for Melinda Amornwichet is 1619555489. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Q: What is Melinda Amornwichet's specialty?

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

Active since March 31, 2021PECOS Enrolled

1740 W TAYLOR ST, CHICAGO, IL 60612(866) 600-2273 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Melinda Alisa Amornwichet Md NPPES

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

MELINDA ALISA AMORNWICHET MD (NPI 1619555489) is an individual pediatrics provider in Chicago, Illinois, licensed in Illinois (036167391) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619555489

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMELINDA ALISA AMORNWICHETCredential: MD

Location Address1740 W TAYLOR STChicago, IL 60612-7232

Mailing Address840 S Wood StChicago, IL 60612-4325 · (866) 600-2273

Phone(866) 600-2273

Sole ProprietorNo

Enumeration DateMarch 31, 2021

Last NPPES UpdateOctober 17, 2024

NPPES CertifiedOctober 17, 2024

✔ NPI 1619555489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IL · 036167391

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

1740 W TAYLOR ST, Chicago, IL 60612

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melinda Alisa Amornwichet Md 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 Melinda Amornwichet reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Board Of Trustees Of The University Of Illinois

Same address

Anesthesiology

1740 W TAYLOR ST
Chicago, IL 60612

Reassigned Medicare billing, Illinois enrollment
2,127 clinicians in this Medicare group

NPI 1013136282 (312) 996-4020

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 60612 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

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

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.

MRS. CATHLEEN CONWAY JENSEN OTR/L

Occupational Therapist

1740 W TAYLOR ST, C100
CHICAGO, IL 60612

Cook County (312) 996-3700

KELLY M HOYERT PA-C

Physician Assistant (Surgical)

1740 W TAYLOR ST, 3F OCC
CHICAGO, IL 60612

Cook County (312) 355-4300

DR. YI-LOONG COLIN WOON M.D.

Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)