Individual provider Active NPI

Virginia P Luces, M.D

  • Pediatrics Physician
  • Elgin, IL
National Provider Identifier
1366494585
Registry record updated Sep 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036-062230 Issued in IL
Practice address
2050 Larkin Ave
Suite 101
Elgin, IL 60123-4405
Phone
(847) 742-9698
Fax
(847) 742-9743
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 336026758 IL
Pediatrics Physician 208000000X 036-062230 IL Primary

Addresses

Primary practice location

2050 Larkin Ave
Suite 101
Elgin, IL 60123-4405

Mailing address

2050 Larkin Ave
Suite 101
Elgin, IL 60123-4405
Phone (847) 742-9698

Other identifiers 3

IdentifierTypeStateIssuer
1366494585OtherWIBCBSWI
036062230MedicaidIL
LUCESVIROtherWIMERCYCARE INSURANCE

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
I20130322000192 IL Practitioner - Pediatric Medicine 1951546969 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-062230ILMDPediatrics Physician
336026758ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health System Corporation CurrentSince Jan 1, 2013 Accepting new patients
Mercy Health System Corporation CurrentSince Jan 1, 2013 Accepting new patients

Locations

500 W Il Route 22
Barrington, IL 60010
Phone (847) 381-3000

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

2050 Larkin Ave
Elgin, IL 60123
Phone (847) 697-2400

2050 Larkin Ave
Ste 101
Elgin, IL 60123
Phone (847) 697-2400

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

1775 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-5150

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379289600000",
    "number": "1366494585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 LARKIN AVE",
            "address_2": "SUITE 101",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234405",
            "telephone_number": "847-742-9698",
            "fax_number": "847-742-9743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 LARKIN AVE",
            "address_2": "SUITE 101",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234405",
            "telephone_number": "847-742-9698",
            "fax_number": "847-742-9743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCES",
        "first_name": "VIRGINIA",
        "middle_name": "P",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2013-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "336026758",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036-062230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSWI",
            "identifier": "1366494585",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036062230",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCYCARE INSURANCE",
            "identifier": "LUCESVIR",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.