Gerald Lofthouse, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

36058630 Issued in IL

Practice address

402 W Boughton Rd Ste F1
Bolingbrook, IL 60440-1984

Phone

(630) 410-2448

Fax

(630) 410-8327

NPI assigned

May 5, 2006

Last updated

Feb 21, 2019By the provider in NPPES

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)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gerald.lofthouse.1@18377.direct.athenahealth.com

All facility ownership & control disclosures 1

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

Owned or controlled facilities with NPI records 1

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

• Serenity One Hospice and Palliative Care LLC

  • Community Based Hospice Care Agency
  • Lombard, IL
  • NPI 1043671829

  Corporate Director

  CMS ownership

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.

• Lighthouse Hospice Care LLC

  dba Lighthouse Hospice and Palliative Care

  • Community Based Hospice Care Agency
  • Naperville, IL
  • NPI 1982204699

  Family Medicine

  Medicare reassignment NPD
• Boughton Family Practice PC

  • Family Medicine Physician
  • Bolingbrook, IL
  • NPI 1578986576
  Authorized official Same address or phone
• Advanced Allergy & Asthma Clinic S C

  • Allergy & Immunology Physician
  • Bolingbrook, IL
  • NPI 1467669374
  NPD (past)
• Serenity One Hospice and Palliative Care LLC

  • Community Based Hospice Care Agency
  • Lombard, IL
  • NPI 1043671829

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1972551513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "city": "CLARENDON HLS",
            "state": "IL",
            "postal_code": "605140278",
            "telephone_number": "630-410-2448",
            "fax_number": "630-410-8327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W BOUGHTON RD STE F1",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401984",
            "telephone_number": "630-410-2448",
            "fax_number": "630-410-8327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFTHOUSE",
        "first_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "36058630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• LMR Home Health Care, Inc. (LMR Home Maker)
• LMR Home Health Care, Inc. (LMR Home Nursing)
• LMR Medical Equipment, Inc
• Diana Lynette Lockett, MA, QMHP
• Natalie D Loewe, MS, OTR/L
• Yesenia Logan
• Denise Loid, APN
• Aamatullah Lokhandwala
• Marc A Long, D.C.
• Melissa Lopez, LPC

• Family Medicine Physician in Bolingbrook, IL
• Providers in Bolingbrook, 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 Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.