Individual provider Active NPI

Gerald L Cooke, MD

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1386768588
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-109316 Issued in IL
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036-109316MedicaidIL

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-109316ILMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Almasri and Associates Inc. PastSince Aug 1, 2010 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.