Individual provider Active NPI

Luis A Couret, M.D.

  • Internal Medicine Physician
  • Franklin Park, IL
National Provider Identifier
1134218399
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036090038 Issued in IL
Practice address
2930 Mannheim Rd
Suite #1
Franklin Park, IL 60131-2265
Phone
(847) 451-4064
Fax
(847) 451-4098
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036090038 IL Primary

Addresses

Primary practice location

2930 Mannheim Rd
Suite #1
Franklin Park, IL 60131-2265

Mailing address

2930 Mannheim Rd
Suite #1
Franklin Park, IL 60131-2265
Phone (847) 451-4064

Other identifiers 5

IdentifierTypeStateIssuer
01632309OtherILBCBS OF IL PROVIDER
110235189OtherRR MEDICARE PROVIDER #
14D1010159OtherILIL CLIA #
036090038MedicaidIL
043632612OtherTAX ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041012000274 IL Practitioner - Internal Medicine 2466411962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2930 Mannheim Rd
Suite 1
Franklin Park, IL 60131-2265
Phone (847) 451-4064

Hospital & facility affiliations

  • Alphonsa Home Health Care, Inc Home health agency, Elmhurst, IL, CCN 148137
  • Healing Hands Home Care, Inc Home health agency, Chicago, IL, CCN 147727
  • Loyola Gottlieb Memorial Hospital Hospital, Melrose Park, IL, CCN 140008
  • Loyola University Medical Center Hospital, Maywood, IL, CCN 140276
  • Citadel at Casa Scalabrini Nursing home, Northlake, IL, CCN 145956

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036090038ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Loyola University Medical Center Current Accepting new patients
Couret Medical & Urgent Care S.C. Internal Medicine CurrentSince Jul 1, 2002 Accepting new patients
Advocate Health Centers, Inc. Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

2930 Mannheim Rd
Ste 1
Franklin Park, IL 60131
Phone (847) 451-4064

Interoperability endpoints

  • Direct secure messaging: lcouret50700@direct.luhs.org

Organizations & group practices 4

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 6

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199318400000",
    "number": "1134218399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 MANNHEIM RD",
            "address_2": "SUITE #1",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601312265",
            "telephone_number": "847-451-4064",
            "fax_number": "847-451-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 MANNHEIM RD",
            "address_2": "SUITE #1",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601312265",
            "telephone_number": "847-451-4064",
            "fax_number": "847-451-4098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURET",
        "first_name": "LUIS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036090038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL PROVIDER",
            "identifier": "01632309",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PROVIDER #",
            "identifier": "110235189",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL CLIA #",
            "identifier": "14D1010159",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036090038",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "043632612",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Park, IL

Sources for this page

Verify at the official NPI Registry.