Individual provider Active NPI

Laura Amanda Perry, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Chicago, IL
National Provider Identifier
1255698809
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
036138476 Issued in IL
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

Updated by the provider on Sep 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160915002413 IL Practitioner - Family Practice 0941510606 Reassigns benefits to 1 organization

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
The Board of Trustees of the University of IllinoisGroup PAC ID 3072422716, 1,134 clinicians

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 Home health agency, Chicago, IL, CCN 148276
  • University of Illinois Hospital and Clinics Hospital, Chicago, IL, CCN 140150

Merit-based Incentive Payment System (MIPS)

Final score
93.28 of 100Reported as group
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

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois Current Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Aug 7, 2016 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Aug 7, 2016 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.