Individual provider Active NPI

Geraldine Luna

  • Geriatric Medicine (Internal Medicine) Physician
  • Chicago, IL
National Provider Identifier
1275735706
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
036126299 Issued in IL
Practice address
2231 E 95TH St
Chicago, IL 60617-4804
Phone
(773) 468-7700
Fax
(773) 768-7768
NPI assigned
Jun 5, 2007
Last updated
Sep 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 036126299 IL Primary

Addresses

Primary practice location

2231 E 95TH St
Chicago, IL 60617-4804

Mailing address

2231 E 95TH St
Chicago, IL 60617-4804
Phone (773) 468-7700

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
I20121103000003 IL Practitioner - Geriatric MedicinePractitioner - Internal Medicine 2769633585 Reassigns benefits to 1 organization

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 CurrentSince Aug 1, 2012 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
PMR Illinois Holding, LLC CurrentSince Jan 1, 2022 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Aug 1, 2012 Accepting new patients

Locations

1855 W Taylor St
Chicago, IL 60612
Phone (312) 996-6582

2231 E 95th St
Chicago, IL 60617
Phone (773) 768-7700

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-4210

7732 Solutions Ctr
Chicago, IL 60677

845 W Wilson Ave
Chicago, IL 60640
Phone (312) 744-1295

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1275735706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 E 95TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606174804",
            "telephone_number": "773-468-7700",
            "fax_number": "773-768-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 E 95TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606174804",
            "telephone_number": "773-468-7700",
            "fax_number": "773-768-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNA",
        "first_name": "GERALDINE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036126299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.