SHEILA DUGAN M.D.
NPI 1932158904
Physical Medicine & Rehabilitation in Chicago, IL

Active since May 08, 2006PECOS EnrolledAccepts Medicare Assignment
1725 W HARRISON ST, SUITE 970, CHICAGO, IL 60612(312) 942-6644 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sheila Dugan M.d. NPPES

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

SHEILA DUGAN M.D. (NPI 1932158904) is an individual physical medicine & rehabilitation provider in Chicago, Illinois and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Rush University Medical Center, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1932158904
Entity TypeIndividualFemale
Primary Taxonomy208100000X
Provider Legal NameSHEILA DUGANCredential: M.D.
Location Address1725 W HARRISON ST, SUITE 970Chicago, IL 60612-3841
Mailing Address1725 W Harrison St, Suite 970Chicago, IL 60612-3841 · (312) 942-6644
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateMay 8, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1932158904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
1725 W HARRISON ST, Chicago, IL 60612

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

Sheila Dugan M.d. 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 ID9436167558
PECOS Enrollment IDI20060331000358
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 Sheila Dugan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
1620 W HARRISON ST
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • 2,169 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 3

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.
27 services25 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
25 services25 patients
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.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Rush University Medical Center

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140119
Location1653 West Congress ParkwayChicago, IL 60612 · Cook County
Emergency services Birthing friendly

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.

Internal Medicine (Medical Oncology)
1725 W HARRISON ST, SUITE 809
CHICAGO, IL 60612
Clinic/Center (Ophthalmologic Surgery)
1725 W HARRISON ST, STE 910
CHICAGO, IL 60612
Pediatrics (Pediatric Infectious Diseases)
1725 W HARRISON ST, SUITE 710
CHICAGO, IL 60612
Internal Medicine (Hematology)
1725 W HARRISON ST, SUITE 1010
CHICAGO, IL 60612
Internal Medicine
1725 W HARRISON ST, SUITE 263
CHICAGO, IL 60612
Specialist
1725 W HARRISON ST, SUITE 744
CHICAGO, IL 60612
Radiology (Diagnostic Radiology)
1725 W HARRISON ST, SUITE 155
CHICAGO, IL 60612
Specialist
1725 W HARRISON ST, SUITE 762
CHICAGO, IL 60612

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 Sheila Dugan's NPI number?

The NPI number for Sheila Dugan is 1932158904. It was assigned to this individual provider in the NPPES registry on May 8, 2006.

Where is Sheila Dugan located?

Sheila Dugan practices at 1725 W Harrison St Suite 970, Chicago, IL 60612. The listed phone number is (312) 942-6644.

What is Sheila Dugan's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Sheila Dugan enrolled in Medicare?

Yes. Sheila Dugan 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 Sheila Dugan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sheila Dugan reassigns Medicare benefits to Rush University Medical Group (Chicago, IL). 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 Sheila Dugan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sheila Dugan accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Sheila Dugan 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 Sheila Dugan affiliated with any hospitals?

According to CMS data, Sheila Dugan is affiliated with Rush University Medical Center.

When was this NPI record last updated?

The NPPES record for Sheila Dugan was last updated on July 13, 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.