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DOMINIQUE MEKKAM MD
NPI 1760155873
Family Medicine in Ft. Mitchell, KY

Active since July 26, 2021PECOS EnrolledAccepts Medicare Assignment
2300 CHAMBER CENTER DR, FT. MITCHELL, KY 41017(859) 341-3114(859) 578-2156 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 18, 2025, Nov 3, 2025, Aug 21, 2024 and 1 more (4 updates tracked since 2021).

About Dominique Mekkam Md NPPES

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

DOMINIQUE MEKKAM MD (NPI 1760155873) is an individual family medicine provider in Ft. Mitchell, Kentucky, licensed in Kentucky (58818) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Edgewood, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1760155873
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDOMINIQUE MEKKAMCredential: MD
Location Address2300 CHAMBER CENTER DRFt. Mitchell, KY 41017-1686
Mailing AddressPo Box 635283Cincinnati, OH 45263-5283 · (859) 341-3114 · Fax (859) 578-2156
Phone(859) 341-3114
Fax(859) 578-2156
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 26, 2021
Last NPPES UpdateNovember 18, 20254 updates tracked since enumeration
NPPES CertifiedNovember 18, 2025
✔ NPI 1760155873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 58818
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2300 CHAMBER CENTER DR, Ft. Mitchell, KY 41017
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Other Names 1

Professional Name (2)Dominique Goddard-harte Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Dominique Mekkam 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 ID1355744129
PECOS Enrollment IDI20240827002822
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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

St Elizabeth Florence

Acute Care Hospitals · Florence, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180045
Location4900 Houston RoadFlorence, KY 41042 · Boone County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41017 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 12

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

MRS. JESSICA RYAN HALL CNP
Nurse Practitioner
2300 CHAMBER CENTER DR
LAKESIDE PARK, KY 41017
Kenton County (859) 655-7040
JOSHUA M BENGE M.D.
Family Medicine
2300 CHAMBER CENTER DR
LAKESIDE PARK, KY 41017
Kenton County (859) 655-7040
ROBERT LEE BAKER MD
Family Medicine
2300 CHAMBER CENTER DR, SUITE 100
FORT MITCHELL, KY 41017
Kenton County (859) 341-3114
ZACHARY JOHN GROVE MD
Family Medicine
2300 CHAMBER CENTER DR
LAKESIDE PARK, KY 41017
Kenton County (859) 341-3114
FRAGGE ALLERGY & ASTHMA CLINICS PSC
Internal Medicine (Allergy & Immunology)
2300 CHAMBER CENTER DR, SUITE 102
LAKESIDE PARK, KY 41017
Kenton County (859) 371-3797
CHRISTINA FRIEDLY DO
Family Medicine
2300 CHAMBER CENTER DR
LAKESIDE PARK, KY 41017
Kenton County (859) 341-3114
DR. JESSICA MARIE FERRER MARTINEZ MD
Family Medicine
2300 CHAMBER CENTER DR
LAKESIDE PARK, KY 41017
Kenton County (859) 341-3114
MRS. SHAWN KATHLEEN ROSS MD
Family Medicine
2300 CHAMBER CENTER DR
LAKESIDE PARK, KY 41017
Kenton County (859) 341-3114

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 Dominique Mekkam's NPI number?

The NPI number for Dominique Mekkam is 1760155873. It was assigned to this individual provider in the NPPES registry on July 26, 2021. The provider is also known as Dominique Goddard-Harte MD.

Where is Dominique Mekkam located?

Dominique Mekkam practices at 2300 Chamber Center Dr, Ft. Mitchell, KY 41017. The listed phone number is (859) 341-3114.

What is Dominique Mekkam's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dominique Mekkam enrolled in Medicare?

Yes. Dominique Mekkam 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 Dominique Mekkam accept?

Health plans from CareSource list Dominique Mekkam 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 Dominique Mekkam affiliated with any hospitals?

According to CMS data, Dominique Mekkam is affiliated with St Elizabeth Edgewood and St Elizabeth Florence.

When was this NPI record last updated?

The NPPES record for Dominique Mekkam was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.