NPIMap

Individual provider Active NPI

Paul S Luning, MD

  • Family Medicine Physician
  • Oak Park, IL
National Provider Identifier
1851356414
Registry record updated Dec 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036097819 Issued in IL
Practice address
14 W Lake St
Oak Park, IL 60302-2606
Phone
(708) 383-0113
Fax
(708) 383-9911
NPI assigned
Apr 18, 2006
Last updated
Dec 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036097819 IL Primary

Addresses

Primary practice location

14 W Lake St
Oak Park, IL 60302-2606

Mailing address

14 W Lake St
Oak Park, IL 60302-2606
Phone (708) 383-0113

Other identifiers 1

IdentifierTypeStateIssuer
036097819MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040301001161 IL Practitioner - Family Practice 9537056940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PCC Community Wellness CenterGroup PAC ID 1557270139, 91 clinicians

Practice addresses (Care Compare)

14 Lake St
Oak Park, IL 60302-2606
Phone 7083830113220005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036097819ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PCC Community Wellness Center CurrentSince Jan 1, 2004 Accepting new patients
PCC Community Wellness Center CurrentSince Jan 1, 2004 Accepting new patients
West Suburban Hospital Medical Center Past Accepting new patients
West Suburban Medical Center Family Medicine Past Accepting new patients

Locations

14 Lake St
Oak Park, IL 60302
Phone (708) 383-0113

Interoperability endpoints

  • Direct secure messaging: paul.luning.1@13158.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 15

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
PCC Dr Tong Health CenterOak Park, IL, CCN 141034 Federally qualified health center Corporate Officer (100%)
W-2 Managing Employee (100%)		 Sep 17, 2007
Sep 17, 2007
Salud Family Health CenterChicago, IL, CCN 141032 Federally qualified health center Corporate Officer (100%)
W-2 Managing Employee (100%)		 Sep 17, 2007
Sep 17, 2007
South Family Health CenterBerwyn, IL, CCN 141031 Federally qualified health center Corporate Officer (100%)
W-2 Managing Employee (100%)		 Sep 17, 2007
Sep 17, 2007
PCC West Town Family Health CenterChicago, IL, CCN 141092 Federally qualified health center Corporate Officer (100%)
W-2 Managing Employee (100%)		 Sep 17, 2007
Sep 17, 2007
PCC Melrose Park Family Health CenterMelrose Park, IL, CCN 141091 Federally qualified health center Corporate Officer (100%)
W-2 Managing Employee (100%)		 Sep 17, 2007
Apr 16, 2012
PCC Community Wellness CenterOak Park, IL, CCN 141888 Federally qualified health center Corporate Officer (100%)
W-2 Managing Employee (100%)		 Sep 17, 2007
Sep 17, 2007
PCC Austin Family Health CenterChicago, IL, CCN 141889 Federally qualified health center Corporate Officer (100%)
W-2 Managing Employee (100%)		 Sep 17, 2007
Sep 17, 2007
PCC Clinic at the BoulevardChicago, IL, CCN 141090 Federally qualified health center Corporate Officer (100%)
W-2 Managing Employee (100%)		 Sep 17, 2007
Sep 17, 2007
PCC Walk-in Wellness Center at West Suburban Medical CenterOak Park, IL, CCN 781802 Federally qualified health center Corporate Officer (100%)
W-2 Managing Employee (100%)		 Sep 17, 2007
Sep 17, 2007
PCC Community Wellness CenterOak Park, IL, CCN 781824 Federally qualified health center Corporate Officer (100%)
W-2 Managing Employee (100%)		 Sep 17, 2007
Sep 17, 2007
PCC Community Wellness Center at SteinmetzChicago, IL, CCN 781851 Federally qualified health center Corporate Officer (100%)
W-2 Managing Employee (100%)		 Sep 17, 2007
Sep 17, 2007
PCC Parkside Family Health CenterChicago, IL, CCN 781918 Federally qualified health center W-2 Managing Employee (100%) Sep 17, 2007
PCC Community Wellness Center at ThresholdsChicago, IL, CCN C41050 Federally qualified health center Corporate Officer (100%)
W-2 Managing Employee (100%)		 Sep 17, 2007
Sep 17, 2007
PCC Dr. Burdick Family Health CenterOak Park, IL, CCN C41051 Federally qualified health center Corporate Officer (100%) Sep 17, 2007
PCC Austin Dental & Specialty Care CenterChicago, IL, CCN C41059 Federally qualified health center Corporate Officer (100%)
W-2 Managing Employee (100%)		 Sep 17, 2007
Sep 17, 2007

Owned or controlled facilities with NPI records 15

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 15

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1851356414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 W LAKE ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022606",
            "telephone_number": "708-383-0113",
            "fax_number": "708-383-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 W LAKE ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022606",
            "telephone_number": "708-383-0113",
            "fax_number": "708-383-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNING",
        "first_name": "PAUL",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036097819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036097819",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

Verify at the official NPI Registry.