Active NPI
Gerald L Cooke, MD
- Internal Medicine Physician
- Chicago, IL
National Provider Identifier
1386768588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036-109316
- Practice address
- 6127 S University Ave
Chicago, IL 60637-5894 - Phone
- (708) 444-2310
- Fax
- (888) 509-9868
- NPI assigned
- Mar 16, 2007
- Last updated
- Sep 23, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036-109316 | IL | Primary |
| General Practice Physician | 208D00000X | 036-109316 | IL |
Addresses
Primary practice location
6127 S University Ave
Chicago, IL 60637-5894
Mailing address
4906 S Greenwood Ave
Chicago, IL 60615-2816
Phone (773) 936-5376
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036-109316 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-109316 | IL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Almasri and Associates Inc. | Past | Accepting new patients | |
| Transitions of Care, PLLC | Internal Medicine | Past | Accepting new patients |
| Solid Rock Care Center II | General Practice | Past | Accepting new patients |
Interoperability endpoints
- geraldcooke@gcmd.allscriptsdirect.net
Organizations & group practices 3
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.
-
- Clinic/Center
- Palos Heights, IL
- NPI 1104158286
-
- General Practice Physician
- Oak Park, IL
- NPI 1780877993
-
- Internal Medicine Physician
- Ann Arbor, MI
- NPI 1710289665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663891200000",
"number": "1386768588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4906 S GREENWOOD AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606152816",
"telephone_number": "773-936-5376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6127 S UNIVERSITY AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606375894",
"telephone_number": "708-444-2310",
"fax_number": "888-509-9868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOKE",
"first_name": "GERALD",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-16",
"last_updated": "2022-09-23",
"certification_date": "2022-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036-109316",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IL",
"license": "036-109316",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036-109316",
"state": "IL"
}
],
"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 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.