Active NPI
Luke Carlstrom, MD
- Pulmonary Disease Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 036115079
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- 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
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
- Saint Francis Hospital-Evanston
- Advocate Lutheran General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Pulmonary Associates, S.C. | Pulmonary Disease | Current | Accepting new patients |
| Cardiothoracic & Vascular Surgical Associates S C | Past | 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
- 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.
-
- Pulmonary Disease Physician
- Chicago, IL
- NPI 1255414926
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Oak Lawn, IL
- NPI 1780679407
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Park Ridge, IL
- NPI 1164539730
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1811735228
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1982442398
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.