MELISSA KUBACKI MD
NPI 1902555725
Emergency Medicine in Chicago, IL

Q: What is Melissa Kubacki's NPI number?

The NPI number for Melissa Kubacki is 1902555725. It was assigned to this individual provider in the NPPES registry on March 20, 2022.

Q: What is Melissa Kubacki's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Kubacki was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 20, 2022PECOS EnrolledAccepts Medicare Assignment

251 E HURON ST, CHICAGO, IL 60611(312) 926-2000 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Melissa Kubacki Md NPPES

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

MELISSA KUBACKI MD (NPI 1902555725) is an individual emergency medicine provider in Chicago, Illinois, licensed in Illinois (125.079328) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with Northwestern Lake Forest Hospital, and maintains a secondary practice location in Lake Forest.

NPPES Registry Identity

NPI1902555725

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameMELISSA KUBACKICredential: MD

Location Address251 E HURON STChicago, IL 60611-3055

Mailing Address251 E Huron StChicago, IL 60611-3055 · (312) 926-2000

Phone(312) 926-2000

Sole ProprietorNo

Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 2022

Enumeration DateMarch 20, 2022

Last NPPES UpdateJuly 6, 2026

NPPES CertifiedJuly 6, 2026

✔ NPI 1902555725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in IL · 125.079328✔ Licensed in IL · 036173842

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

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

251 E HURON ST, Chicago, IL 60611

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Secondary Practice Location 1

Location 11000 N Westmoreland RdLake Forest, IL 60045-1658 · Phone (847) 535-6150 · Fax (847) 535-7801

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

Melissa Kubacki 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 ID1951781061

PECOS Enrollment IDI20260113002445

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 Reassignments

Medicare enrollment records show Melissa Kubacki reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cepamerica Illinois LLP

2.9 mi

Emergency Medicine

2900 N LAKE SHORE DR
Chicago, IL 60657

Reassigned Medicare billing, Illinois enrollment
982 clinicians in this Medicare group

NPI 1134677370 (773) 665-3000

Northwestern Medical Faculty Foundation

34 mi

Multi-Specialty

DEPT 5777
Carol Stream, IL 60122

Reassigned Medicare billing, Illinois enrollment
4,817 clinicians in this Medicare group

NPI 1346235314 (855) 694-2866

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Northwestern Lake Forest Hospital

Acute Care Hospitals · Lake Forest, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140130

Location1000 N Westmoreland RoadLake Forest, IL 60045 · Lake County

Emergency services Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140162

Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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.

MARK WANG M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

251 E HURON ST, FEINBERG PAVILION
CHICAGO, IL 60611

Cook County (312) 503-8144

DR. MARLEY ANN DOYLE M/D.

Psychiatry & Neurology (Psychiatry)

251 E HURON ST, GALTER 3-150, C
CHICAGO, IL 60611

Cook County (312) 926-6895

CASSIDY SCHWAB MD

Anesthesiology