GREGORY A DUMANIAN MD
NPI 1972533388
Surgery - Plastic and Reconstructive Surgery in Chicago, IL

Q: What is Gregory Dumanian's NPI number?

The NPI number for Gregory Dumanian is 1972533388. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Q: What is Gregory Dumanian's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Q: When was this NPI record last updated?

The NPPES record for Gregory Dumanian was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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 July 03, 2006PECOS EnrolledAccepts Medicare Assignment

94.1/100

CMS Quality Rating

259 E ERIE ST STE 20-2060, CHICAGO, IL 60611(312) 695-6022(312) 695-5672 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Gregory A Dumanian Md NPPES

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

GREGORY A DUMANIAN MD (NPI 1972533388) is an individual plastic and reconstructive surgery provider in Chicago, Illinois, licensed in Illinois (036091634) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Mchenry, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1972533388

Entity TypeIndividualMale

Primary Taxonomy2086S0122X

Provider Legal NameGREGORY A DUMANIANCredential: MD

Location Address259 E ERIE ST STE 20-2060Chicago, IL 60611-2987

Mailing Address680 N Lake Shore Dr, Suite 1000Chicago, IL 60611-4546 · (312) 695-6022 · Fax (312) 695-5672

Phone(312) 695-6022

Fax(312) 695-5672

Sole ProprietorNo

Medical School CMSOtherGraduated 1987

Enumeration DateJuly 3, 2006

Last NPPES UpdateJanuary 13, 2025

NPPES CertifiedJanuary 13, 2025

✔ NPI 1972533388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0122X

License✔ Licensed in IL · 036091634

Definition

A surgeon who specializes in plastic and reconstructive surgery.

259 E ERIE ST STE 20-2060, Chicago, IL 60611

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Other Identifiers 1

Medicaid036091634IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, AmeriHealth Caritas Next.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

Gregory A Dumanian 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 ID8426247214

PECOS Enrollment IDI20110110000523

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 Gregory Dumanian reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Shriners Hospitals For Children

9.2 mi

Anesthesiology

2211 N OAK PARK AVE
Chicago, IL 60707

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

NPI 1326536574 (773) 622-3351

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.

Areas of Expertise CMS Part B claims 8

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 straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

89 services77 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.

61 services55 patients

Creation of muscle graft to trunk 15734

The creation of a muscle graft to the trunk is a surgical procedure where healthy muscle tissue is moved from one part of the body to another. This helps to repair damaged areas, improve function, and enhance appearance. It's a common procedure in reconstructive surgery.

55 services29 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

48 services48 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

33 services33 patients

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

14 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Northwestern Medicine Mchenry

Acute Care Hospitals · Mchenry, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140116

Location4201 Medical Center DriveMchenry, IL 60050 · Mc Henry County

Emergency services Birthing friendly

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

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140242

Location25 North Winfield RoadWinfield, IL 60190 · Du Page County

Emergency services Birthing friendly

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140281

Location251 E Huron StChicago, IL 60611 · Cook County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

82.59

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 2

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

DR. JASON HYUNSUK KO M.D.

Plastic Surgery (Surgery of the Hand)

259 E ERIE ST STE 20-2060
CHICAGO, IL 60611

Cook County (312) 695-6022

DR. MARCO FREDRICK ELLIS M.D.

Plastic Surgery

259 E ERIE ST STE 20-2060
CHICAGO, IL 60611

Cook County (312) 695-6022

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 Gregory Dumanian's NPI number?

The NPI number for Gregory Dumanian is 1972533388. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Gregory Dumanian located?

Gregory Dumanian practices at 259 E Erie St Ste 20-2060, Chicago, IL 60611. The listed phone number is (312) 695-6022.

What is Gregory Dumanian's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Gregory Dumanian enrolled in Medicare?

Yes. Gregory Dumanian 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 organizations bill Medicare for Gregory Dumanian's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gregory Dumanian reassigns Medicare benefits to 2 organizations: Shriners Hospitals For Children (Chicago, IL) and Northwestern Medical Faculty Foundation (Carol Stream, IL). Each 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 Gregory Dumanian's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gregory Dumanian accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and AmeriHealth Caritas Next list Gregory Dumanian 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 Gregory Dumanian affiliated with any hospitals?

According to CMS data, Gregory Dumanian is affiliated with Northwestern Medicine Mchenry, Northwestern Lake Forest Hospital, Northwestern Medicine Central Dupage Hospital and Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Gregory Dumanian was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.