Merrill Ken Galera, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036112459 Issued in IL

Practice address

17W300 22ND St
Suite 320
Oakbrook Terrace, IL 60181-4405

Phone

(630) 589-5010

Fax

(630) 589-5011

NPI assigned

Feb 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Private Physician Placements LLC

  • Family Medicine Physician
  • Oakbrook Terrace, IL
  • NPI 1164667580
  NPD Authorized official
• Merrill Ken Galera MD SC

  • Family Medicine Physician
  • Oakbrook Terrace, IL
  • NPI 1750522116
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244592000000",
    "number": "1821060757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17W300 22ND ST",
            "address_2": "SUITE 320",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814405",
            "telephone_number": "630-589-5010",
            "fax_number": "630-589-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17W300 22ND ST",
            "address_2": "SUITE 320",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814405",
            "telephone_number": "630-589-5010",
            "fax_number": "630-589-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALERA",
        "first_name": "MERRILL",
        "middle_name": "KEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-04",
        "last_updated": "2009-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036112459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jawad George Ghanayem, D.D.S.

• Family Medicine Physician in Oakbrook Terrace, IL
• Providers in Oakbrook Terrace, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.