Individual provider Active NPI

Luke Carlstrom, MD

  • Pulmonary Disease Physician
  • Chicago, IL
National Provider Identifier
1477574127
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
036115079 Issued in IL
Practice address
7447 W. Talcott Ave.
Suite 542
Chicago, IL 60631-3716
Phone
(773) 631-2180
Fax
(773) 631-5947
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 036115079 IL
Pulmonary Disease Physician 207RP1001X 036115079 IL Primary

Addresses

Primary practice location

7447 W. Talcott Ave.
Suite 542
Chicago, IL 60631-3716

Mailing address

7447 W. Talcott Ave.
Suite 542
Chicago, IL 60631-3716
Phone (773) 631-2180

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lcarlstrom251952@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20061031000242 IL Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 3779580915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Pulmonary Associates, S.C.Group PAC ID 2466494075, 9 clinicians

Practice addresses (Care Compare)

7447 W Talcott Ave
Suite 542
Chicago, IL 60631-3716
Phone (773) 631-2180

Hospital & facility affiliations

  • Amita Health Resurrection Medical Center Hospital, Chicago, IL, CCN 140117
  • Saint Francis Hospital-Evanston Hospital, Evanston, IL, CCN 140080
  • Advocate Lutheran General Hospital Hospital, Park Ridge, IL, CCN 140223

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Pulmonary Associates, S.C. Pulmonary Disease CurrentSince Jul 1, 2010 Accepting new patients
Cardiothoracic & Vascular Surgical Associates S C PastSince Jul 1, 2010 Accepting new patients

Locations

7447 W Talcott Ave
Chicago, IL 60631
Phone (773) 631-6082

7447 W Talcott Ave
Ste 542
Chicago, IL 60631
Phone (773) 631-2180

Interoperability endpoints

  • Direct secure messaging: lcarlstrom251952@direct.myadvocateaurora.org

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.

Hospital & facility affiliations 3

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1477574127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 W. TALCOTT AVE.",
            "address_2": "SUITE 542",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313716",
            "telephone_number": "773-631-2180",
            "fax_number": "773-631-5947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 W. TALCOTT AVE.",
            "address_2": "SUITE 542",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313716",
            "telephone_number": "773-631-2180",
            "fax_number": "773-631-5947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSTROM",
        "first_name": "LUKE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IL",
            "license": "036115079",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036115079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lcarlstrom251952@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7447 W. Talcott Ave.",
            "address_2": "Suite 542",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606313716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "7447 W. Talcott Ave.",
            "address_2": "Suite 542",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606313716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.