Active NPI
Monica Anil Lukose, MD
- Family Medicine Physician
- Chester, IL
National Provider Identifier
1750951679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 125.078080
- Practice address
- 1900 State St
Chester, IL 62233-1116 - Phone
- (618) 826-2388
- Fax
- (618) 826-5139
- NPI assigned
- Jul 1, 2021
- Last updated
- Jan 17, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 125.078080 | IL | Primary |
Addresses
Primary practice location
1900 State St
Chester, IL 62233-1116
Mailing address
1900 State St
Chester, IL 62233-1116
Phone (618) 826-2388
Other practice location 1
602 W Shawneetown Trl
Steeleville, IL 62288-1126
Phone (618) 965-3382
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mlukose@mhchester.cernerdirect.com |
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
- Family Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1900 State St
Chester, IL 62233-1116
Phone (618) 826-4581
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.078080 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital | Current | Accepting new patients | |
| Memorial Hospital | Family Medicine | Current | Accepting new patients |
| Chester Medical Group LLC | Past | Accepting new patients |
Locations
1900 State St
Chester, IL 62233
Phone (618) 826-2388
602 W Shawneetown Trl
Steeleville, IL 62288
Phone (618) 865-3382
Interoperability endpoints
- mlukose@mhchester.cernerdirect.com
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.
-
- Institutional Pharmacy
- Chester, IL
- NPI 1023603289
-
- Specialist
- Chester, IL
- NPI 1154606903
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Chester, IL
- NPI 1851390132
-
dba Red Bud Regional Home Care
- Home Health Agency
- Red Bud, IL
- NPI 1144282740
-
dba Memorial Hospital of Carbondale
- General Acute Care Hospital
- Carbondale, IL
- NPI 1093801797
-
- Critical Access Hospital
- Sparta, IL
- NPI 1548216476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737072000000",
"number": "1750951679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 STATE ST",
"city": "CHESTER",
"state": "IL",
"postal_code": "622331116",
"telephone_number": "618-826-2388",
"fax_number": "618-826-5139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 STATE ST",
"city": "CHESTER",
"state": "IL",
"postal_code": "622331116",
"telephone_number": "618-826-2388",
"fax_number": "618-826-5139"
}
],
"practiceLocations": [
{
"address_1": "602 W Shawneetown Trl",
"address_purpose": "LOCATION",
"city": "Steeleville",
"state": "IL",
"postal_code": "622881126",
"country_code": "US",
"telephone_number": "618-965-3382",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANIL LUKOSE",
"first_name": "MONICA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-01",
"last_updated": "2025-01-17",
"certification_date": "2025-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "125.078080",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mlukose@mhchester.cernerdirect.com",
"affiliation": "N",
"address_1": "1900 State St",
"city": "Chester",
"state": "IL",
"country_code": "US",
"postal_code": "622331116",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Chester, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.