Active NPI
Laura Amanda Perry, M.D.
- Geriatric Medicine (Family Medicine) Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- 036138476
- Practice address
- 722 W Maxwell St Ste 235
Chicago, IL 60607 - Phone
- (312) 996-2901
- NPI assigned
- Apr 20, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 036138476 | IL | Primary |
Addresses
Primary practice location
722 W Maxwell St Ste 235
Chicago, IL 60607
Mailing address
1919 W Taylor St # Mc663
Chicago, IL 60612-7246
Phone (312) 413-9206
Other practice location 1
840 S Wood St
Ste 409 CSN
Chicago, IL 60612-4325
Phone (312) 996-7704
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Rush Medical College of Rush University, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1919 W Taylor St
Mc663
Chicago, IL 60612-7246
Phone (312) 996-0750
Hospital & facility affiliations
- Angel'S Care Home Health Services, Inc
- University of Illinois Hospital and Clinics
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.28 of 100
- Quality
- 73.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.73
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Board of Trustees of the University of Illinois | Past | Accepting new patients |
Locations
840 S Wood St
Ste 409
Chicago, IL 60612
Phone (312) 731-4267
7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290
722 W Maxwell St
Ste 235
Chicago, IL 60607
Phone (312) 996-2901
1220 S Wood St
Chicago, IL 60608
Phone (312) 413-1261
7732 Solution Ctr
Dept 3461
Chicago, IL 60677
722 W Maxwell St
#235
Chicago, IL 60607
Phone (312) 433-4114
722 W Maxwell St
Chicago, IL 60607
Phone (312) 996-2901
1919 W Taylor St
#663
Chicago, IL 60612
Phone (312) 996-0750
Interoperability endpoints
- lperry17379@uihealth.direct-ci.com
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.
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
-
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
- Family Medicine Physician
- Chicago, IL
- NPI 1215156344
-
- Pediatrics Physician
- Peoria, IL
- NPI 1467425322
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Chicago, IL
- NPI 1265732655
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1861431751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569283200000",
"number": "1255698809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 W TAYLOR ST # MC663",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606127246",
"telephone_number": "312-413-9206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "722 W MAXWELL ST STE 235",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60607",
"telephone_number": "312-996-2901"
}
],
"practiceLocations": [
{
"address_1": "840 S Wood St",
"address_2": "Ste 409 CSN",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606124325",
"country_code": "US",
"telephone_number": "312-996-7704",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERRY",
"first_name": "LAURA",
"middle_name": "AMANDA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-20",
"last_updated": "2019-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "IL",
"license": "036138476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.