DR. KRISTIN MICHELLE DAUGHERTY (M.D.) – Personal Emergency Response Attendant, NPI 1548596711

DR. KRISTIN MICHELLE DAUGHERTY (M.D.) is a healthcare provider. based in Chicago, Illinois. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 57.016186 (OH). The NPI Number for DR. KRISTIN MICHELLE DAUGHERTY (M.D.) is 1548596711

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. KRISTIN MICHELLE DAUGHERTY (M.D.)
NPI
1548596711
Phone
(304) 893-8940
Address
121 W CHESTNUT ST
Enumeration Date
23 October 2009
Last Update Date
22 January 2013

Doctor Profile

Medical School Name
WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7089235800
Graduation Year
2009 (17 years ago)
PAC ID
4880858422
Group Practice PAC ID
1052578366
Professional Enrollment ID
I20120612000467
Address ID
IL604631290PA12251AVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

2,845 EMERGENCY MEDICINE in IL

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Provider Addresses for DR. KRISTIN MICHELLE DAUGHERTY (M.D.)

  • Chestnut Tower, 121, West Chestnut Street, Magnificent Mile, Near North Side, Chicago, Cook County, Illinois, 60610, United States

    3402

    CHICAGO, IL 606103175

    Phone: (304) 893-8940

    Type: Mailing

  • 1423, Chicago Road, Indian Hill, Chicago Heights, Bloom Township, Cook County, Illinois, 60411, United States

    CHICAGO HEIGHTS, IL 604113400

    Phone: (708) 709-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-06-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120612000467IEmergency MedicineILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making391377$0
99284Emergency department visit with moderate level of medical decision making126126$0
99291Critical care, first 30-74 minutes9191$0
93042Electrocardiogram (ecg) 1 to 3 leads with review by physician only3534$0
99283Emergency department visit with low level of medical decision making1818$0
View full utilization report →

Insurance plans in this area (ZIP 60610)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052578366View full group profile
NameSpecialtyState
Emergency MedicineIN
Emergency MedicineMI
Emergency MedicineIL
Emergency MedicineIL
Emergency MedicineIL
Nurse PractitionerIL
-IL
Emergency MedicineIL
Emergency MedicineIL
Emergency MedicineIL

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Frequently asked questions

Can I use this page to confirm DR. KRISTIN MICHELLE DAUGHERTY (M.D.)'s NPI?
Yes. DR. KRISTIN MICHELLE DAUGHERTY (M.D.) is listed with NPI 1548596711 in the public NPI dataset.
Does CMS list DR. KRISTIN MICHELLE DAUGHERTY (M.D.) as active?
Yes — DR. KRISTIN MICHELLE DAUGHERTY (M.D.) is active in the NPI listing used on this page.
What is DR. KRISTIN MICHELLE DAUGHERTY (M.D.) best known for clinically?
Directory data describes DR. KRISTIN MICHELLE DAUGHERTY (M.D.) with Personal Emergency Response Attendant. Clinical services aligned with this taxonomy classification.
Where is DR. KRISTIN MICHELLE DAUGHERTY (M.D.) based?
DR. KRISTIN MICHELLE DAUGHERTY (M.D.) is tied to Chicago, Illinois in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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