DOMINIQUE MEKKAM MD
NPI 1760155873
Family Medicine in Ft. Mitchell, KY
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 Ft Thomas, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Dominique Mekkam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Erlanger, KY 41018
- Reassigned Medicare billing, Kentucky enrollment
- 946 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Elizabeth Ft Thomas
Acute Care Hospitals · Fort Thomas, KYSt Elizabeth Edgewood
Acute Care Hospitals · Edgewood, KYSt Elizabeth Florence
Acute Care Hospitals · Florence, KYPhysician 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.
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.
LAKESIDE PARK, KY 41017
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.
Which organization bills Medicare for Dominique Mekkam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dominique Mekkam reassigns Medicare benefits to Summit Medical Group, Inc (Erlanger, KY). 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 Dominique Mekkam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dominique Mekkam accept?
Health plans from Anthem Blue Cross and Blue Shield and 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 Ft Thomas, 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 11 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.
# Dominique Mekkam, MD · NPI 1760155873
Family Medicine physician in Ft. Mitchell, Kentucky. Individual provider, active in the CMS NPPES registry since July 26, 2021.
## Identity
- **NPI:** 1760155873 (Entity type: Individual)
- **Enumerated:** July 26, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 58818 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 2300 CHAMBER CENTER DR, Ft. Mitchell, KY 41017-1686
- **Phone:** (859) 341-3114 · **Fax:** (859) 578-2156
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Summit Medical Group, Inc (NPI 1508287640, Erlanger, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** November 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1760155873) · Data from the CMS NPPES public registry.