Louis Andres Ugalde, MD
Individual provider Active NPI Emergency Medicine Physician · Chicago, IL
NPI 1104402569 · NPPES record last updated Nov 8, 2024
Key facts
- NPI
- 1104402569
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 125078581 (IL)
- Practice address
- 251 E Huron St
Chicago, IL 60611-3055 - Phone
- (312) 926-2000
- NPI assigned
- Mar 24, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Loma Linda University School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- New York University
Practice addresses (Care Compare)
111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700
Hospital & facility affiliations
- NYU Langone Hospitals
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IN, NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241119002443 | IN | Practitioner - Emergency Medicine | 5698176311 | Reassigns benefits to 1 organization |
| I20250616000828 | NY | Practitioner - Emergency Medicine | 5698176311 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01094854A | IN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| New York University | Emergency Medicine | Current |
Accepting new patients |
| Cep America LLC | Emergency Medicine | Current |
Accepting new patients |
| New York University | Current |
Accepting new patients | |
| Cep America LLC | Emergency Medicine | Current |
Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
700 Hicksville Rd
Ste 205
Bethpage, NY 11714
Phone (646) 501-3325
Interoperability endpoints
- lugalde725960@nyumc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01094854A | IN | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 125078581 | IL | Yes |
Addresses
Primary practice location
251 E Huron St
Chicago, IL 60611-3055
Mailing address
251 E Huron St
Chicago, IL 60611-3055
Phone (312) 926-2000
Other providers in Chicago, IL
- Tara Ufer
- Iheanyi Samuel Ufomba
- Claire Ufongene
- Furkan Ufuk
- Irma Teresa Ugalde
- Moises Ugalde
- Bridget Ugaste
- Hope Uggen
- Avni Bavishi Ughreja
- Cara Ugolino
All providers in Chicago, IL · Emergency Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.