Individual provider Active NPI

Luke N Lauridsen, MD

  • Blood Banking & Transfusion Medicine Physician
  • Chicago, IL
National Provider Identifier
1770077208
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Blood Banking & Transfusion Medicine PhysicianTaxonomy code 207ZB0001X
License
036.154809 Issued in IL
Practice address
1740 W Taylor St RM 1106
Chicago, IL 60612-7232
Phone
(312) 996-6970
NPI assigned
Jun 18, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 036.154809 IL
Blood Banking & Transfusion Medicine Physician 207ZB0001X 036.154809 IL Primary

Addresses

Primary practice location

1740 W Taylor St RM 1106
Chicago, IL 60612-7232

Mailing address

840 South Wood Street
CSN 130 (MC 847)
Chicago, IL 60612-6686
Phone (773) 702-1150

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
I20231108002773 IL Practitioner - Pathology 1254688344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Indiana University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Board of Trustees of the University of IllinoisGroup PAC ID 3072422716, 1,134 clinicians

Practice addresses (Care Compare)

840 S Wood St
Chicago, IL 60612-4325
Phone (312) 996-6666

Hospital & facility affiliations

  • University of Illinois Hospital and Clinics Hospital, Chicago, IL, CCN 140150

Merit-based Incentive Payment System (MIPS)

Final score
93.28 of 100Reported as group
Quality
73.53
Promoting interoperability
100
Improvement activities
40
Cost
70.73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.154809ILMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois Blood Banking & Transfusion Medicine Current Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Sep 19, 2023 Accepting new patients
Board of Trustees of the University of Illinois Blood Banking & Transfusion Medicine CurrentSince Sep 19, 2023 Accepting new patients

Locations

1819 W Polk St
Chicago, IL 60612
Phone (312) 996-6604

820 S Wood St
Chicago, IL 60612
Phone (312) 996-6765

840 S Wood St
#130
Chicago, IL 60612
Phone (312) 996-3879

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

1740 W Taylor St
Rm 1106
Chicago, IL 60612
Phone (312) 996-6970

840 S Wood St
Chicago, IL 60612
Phone (312) 996-6711

Interoperability endpoints

  • Direct secure messaging: llauridsen136828@uihealth.direct-ci.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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1770077208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 SOUTH WOOD STREET",
            "address_2": "CSN 130 (MC 847)",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606126686",
            "telephone_number": "773-702-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 W TAYLOR ST RM 1106",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606127232",
            "telephone_number": "312-996-6970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURIDSEN",
        "first_name": "LUKE",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-18",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "036.154809",
            "primary": false
        },
        {
            "code": "207ZB0001X",
            "taxonomy_group": "",
            "desc": "Pathology, Blood Banking & Transfusion Medicine",
            "state": "IL",
            "license": "036.154809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.