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MRS. SUSANNA ANTONIA MCCOLLEY MD
NPI 1962470336
Pediatrics - Pediatric Pulmonology in Chgo, IL

Active since March 10, 2006PECOS Enrolled
2300 CHILDRENS PLAZA, #43, CHGO, IL 60614(773) 880-8104(773) 880-6300 Get Directions Write a Review

NPPES record last updated: September 21, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mrs. Susanna Antonia Mccolley Md NPPES

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

MRS. SUSANNA ANTONIA MCCOLLEY MD (NPI 1962470336) is an individual pediatric pulmonology provider in Chgo, Illinois, licensed in Illinois (36089384) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962470336
Entity TypeIndividualFemale
Primary Taxonomy2080P0214X
Provider Legal NameMRS. SUSANNA ANTONIA MCCOLLEYCredential: MD
Location Address2300 CHILDRENS PLAZA, #43Chgo, IL 60614
Mailing Address1137 West MontanaChgo, IL 60614-2220 · (773) 348-0979
Phone(773) 880-8104
Fax(773) 880-6300
Sole ProprietorNo
Enumeration DateMarch 10, 2006
Last NPPES UpdateSeptember 21, 2011
✔ NPI 1962470336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0214X
License✔ Licensed in IL · 36089384
Definition
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
2300 CHILDRENS PLAZA, Chgo, IL 60614
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Other Identifiers 3

Medicare ID-Type UnspecifiedL35996IL
Medicare UPINF06665
Medicaid036089384IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Susanna Antonia Mccolley Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Susanna Mccolley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lurie Children's Medical Group Inc
2.4 mi
Pediatrics
225 E CHICAGO AVE
Chicago, IL 60611
  • Reassigned Medicare billing, Illinois enrollment
  • 826 clinicians in this Medicare group
NPI 1518064716 (312) 227-6412

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

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.

JAN ELLEN BERGER MD
Pediatrics
2300 CHILDRENS PLAZA
CHICAGO, IL 60614
Cook County (773) 880-4000
SARAH LYNN CHAMLIN MD
Dermatology
2300 CHILDRENS PLAZA, # 107
CHICAGO, IL 60614
Cook County (312) 227-6060
DR. ROBERT HOWARD LISTERNICK MD
Pediatrics
2300 CHILDRENS PLAZA, DIVISION OF GENERAL ACADEMIC PEDIATRICS CHILDRENS MEMOR
CHICAGO, IL 60614
Cook County (773) 880-3832
MARY KATHRYN STOELINGA APN
Pediatrics
2300 CHILDRENS PLAZA, CHILDRENS MEMORIAL HOSPITAL
CHICAGO, IL 60614
Cook County (773) 975-8636
MARY LYNN KREITER MD
Pediatrics (Pediatric Endocrinology)
2300 CHILDRENS PLAZA, BOX 54
CHICAGO, IL 60614
Cook County (773) 880-4440
SOOKYONG KOH MD PHD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2300 CHILDRENS PLAZA, CHILDRENS MEMORIAL HOSPITAL
CHICAGO, IL 60614
Cook County (773) 880-3179
SABRINA SIU LING TSAO MBBS
Pediatrics (Pediatric Cardiology)
2300 CHILDRENS PLAZA, CHILDRENS MEMORIAL HOSPITAL
CHICAGO, IL 60614
Cook County (773) 880-4553
MICHAEL DAVID KELLEHER MD
Pediatrics (Pediatric Critical Care Medicine)
2300 CHILDRENS PLAZA, BOX #73
CHICAGO, IL 60614
Cook County (773) 880-3980

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 Susanna Mccolley's NPI number?

The NPI number for Susanna Mccolley is 1962470336. It was assigned to this individual provider in the NPPES registry on March 10, 2006.

Where is Susanna Mccolley located?

Susanna Mccolley practices at 2300 Childrens Plaza #43, Chgo, IL 60614. The listed phone number is (773) 880-8104.

What is Susanna Mccolley's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Is Susanna Mccolley enrolled in Medicare?

Yes. Susanna Mccolley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Susanna Mccolley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susanna Mccolley reassigns Medicare benefits to Lurie Children's Medical Group Inc (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 Susanna Mccolley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Susanna Mccolley was last updated on September 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.