KATHLEEN ELIZABETH MCDONOUGH MD
NPI 1700086709
Family Medicine - Addiction Medicine in Chicago, IL

Active since July 19, 2007PECOS EnrolledAccepts Medicare Assignment
5425 W LAKE ST, CHICAGO, IL 60644(773) 378-3347(773) 378-4028 Get Directions Write a Review

NPPES record last updated: February 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 17, 2021, Dec 26, 2019 (2 updates tracked since 2019).

About Kathleen Elizabeth Mcdonough Md NPPES

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

KATHLEEN ELIZABETH MCDONOUGH MD (NPI 1700086709) is an individual addiction medicine provider in Chicago, Illinois, licensed in Illinois (036123200) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with West Suburban Medical Center, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2006).

NPPES Registry Identity

NPI1700086709
Entity TypeIndividualFemale
Primary Taxonomy207QA0401X
Provider Legal NameKATHLEEN ELIZABETH MCDONOUGHCredential: MD
Location Address5425 W LAKE STChicago, IL 60644-2342
Mailing Address5425 W Lake StChicago, IL 60644-2342 · (773) 378-3347 · Fax (773) 378-4028
Fax(773) 378-4028
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2006
Enumeration DateJuly 19, 2007
Last NPPES UpdateFebruary 17, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2021
NPI 1700086709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License Licensed in IL · 036123200
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 125051044 (IL), 036123200 (IL)
5425 W LAKE ST, Chicago, IL 60644

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kathleen Elizabeth Mcdonough Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820144728
PECOS Enrollment IDI20090917000516
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
27 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

West Suburban Medical Center

Acute Care Hospitals · Oak Park, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140049
Location3 Erie CourtOak Park, IL 60302 · Cook County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60644 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$203.35 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
5425 W LAKE ST
CHICAGO, IL 60644
Social Worker (Clinical)
5425 W LAKE ST
CHICAGO, IL 60644
Social Worker (Clinical)
5425 W LAKE ST
CHICAGO, IL 60644
Social Worker (Clinical)
5425 W LAKE ST
CHICAGO, IL 60644
Dentist (General Practice)
5425 W LAKE ST
CHICAGO, IL 60644
Family Medicine
5425 W LAKE ST
CHICAGO, IL 60644
Clinic/Center (Federally Qualified Health Center (FQHC))
5425 W LAKE ST
CHICAGO, IL 60644
Family Medicine
5425 W LAKE ST
CHICAGO, IL 60644

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 Kathleen Mcdonough's NPI number?

The NPI number for Kathleen Mcdonough is 1700086709. It was assigned to this individual provider in the NPPES registry on July 19, 2007.

Where is Kathleen Mcdonough located?

Kathleen Mcdonough practices at 5425 W Lake St, Chicago, IL 60644. The listed phone number is (773) 378-3347.

What is Kathleen Mcdonough's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Kathleen Mcdonough enrolled in Medicare?

Yes. Kathleen Mcdonough is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kathleen Mcdonough accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Kathleen Mcdonough 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.

Is Kathleen Mcdonough affiliated with any hospitals?

According to CMS data, Kathleen Mcdonough is affiliated with West Suburban Medical Center.

When was this NPI record last updated?

The NPPES record for Kathleen Mcdonough was last updated on February 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.