NPIMap

Individual provider Active NPI

Maximiliano Luna Jr., M.D.

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1003132002
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
125-058819 Issued in IL
Practice address
2001 S California Ave
Chicago, IL 60608-2486
Phone
(773) 584-6200
NPI assigned
Apr 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036-131946 IL
Family Medicine Physician 207Q00000X 125-058819 IL Primary

Addresses

Primary practice location

2001 S California Ave
Chicago, IL 60608-2486

Mailing address

2001 S California Ave
Chicago, IL 60608-2486
Phone (773) 584-6200

Other practice location 1

3231 Euclid Ave
5th Floor
Berwyn, IL 60402-3471
Phone (708) 783-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address maximiliano.luna.1@11903.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131203000758 IL Practitioner - Family Practice 2860628567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Esperanza Health CentersGroup PAC ID 2961453105, 53 clinicians

Practice addresses (Care Compare)

2001 S California Ave
Suite 100
Chicago, IL 60608-2486
Phone 7735846200130

Hospital & facility affiliations

  • Saint Anthony Hospital Hospital, Chicago, IL, CCN 140095
  • Mt Sinai Hospital Medical Center Hospital, Chicago, IL, CCN 140018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-131946ILMDFamily Medicine Physician
125-058819ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Esperanza Health Centers Current Accepting new patients
Esperanza Health Centers CurrentSince Apr 2, 2013 Accepting new patients
Esperanza Health Centers CurrentSince Apr 2, 2013 Accepting new patients

Locations

2001 S California Ave
#100
Chicago, IL 60608
Phone (773) 584-6132

2001 S California Ave
Ste 100
Chicago, IL 60608
Phone (773) 640-5785

2001 S California Ave
Chicago, IL 60608
Phone (773) 484-1201

3059 W 26th St
Chicago, IL 60623
Phone (312) 243-3769

Interoperability endpoints

  • Direct secure messaging: maximiliano.luna.1@11903.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11903/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1003132002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S CALIFORNIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082486",
            "telephone_number": "773-584-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S CALIFORNIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082486",
            "telephone_number": "773-584-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3231 Euclid Ave",
            "address_2": "5th Floor",
            "address_purpose": "LOCATION",
            "city": "Berwyn",
            "state": "IL",
            "postal_code": "604023471",
            "country_code": "US",
            "telephone_number": "708-783-2000",
            "fax_number": "708-783-3656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUNA",
        "first_name": "MAXIMILIANO",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-15",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-131946",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125-058819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maximiliano.luna.1@11903.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2001 S California Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606082486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.