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DR. LUNA SAMER NASRY DO
NPI 1053051789
Pediatrics in Chicago, IL

Active since March 30, 2022PECOS Enrolled
820 SOUTH WOOD STREET, SUITE 100, MC 675, CHICAGO, IL 60612(312) 996-2933 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Luna Samer Nasry Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LUNA SAMER NASRY DO (NPI 1053051789) is an individual pediatrics provider in Chicago, Illinois, licensed in Illinois (036172398) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2022).

NPPES Registry Identity

NPI1053051789
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. LUNA SAMER NASRYCredential: DO
Location Address820 SOUTH WOOD STREET, SUITE 100, MC 675Chicago, IL 60612
Mailing Address820 South Wood Street, Suite 100, Mc 675Chicago, IL 60612 · (312) 996-2933
Phone(312) 996-2933
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2022
Enumeration DateMarch 30, 2022
Last NPPES UpdateJanuary 23, 2026
NPPES CertifiedJanuary 23, 2026
✔ NPI 1053051789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 036172398
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
820 SOUTH WOOD STREET, Chicago, IL 60612
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Secondary Practice Location 1

Location 11740 W Taylor StChicago, IL 60612-7232 · Phone (312) 355-4000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Luna Samer Nasry Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597147215
PECOS Enrollment IDI20260123000929
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Luna Nasry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Board Of Trustees Of The University Of Illinois
Same address
Anatomic Pathology
1819 W POLK ST
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 clinicians in this Medicare group
NPI 1386863819 (312) 996-7312

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EITAN KATZ
Ophthalmology
820 SOUTH WOOD STREET, SUITE 100, MC 675
CHICAGO, IL 60612
Cook County (312) 996-2933
MR. TEVYN COLE SHADLYN M.D.
Student in an Organized Health Care Education/Training Program
820 SOUTH WOOD STREET, SUITE 100, MC 675
CHICAGO, IL 60612
Cook County (312) 996-2933
JOSHUA ROBERT HABERMANN DDS
Dentist (Oral and Maxillofacial Surgery)
820 SOUTH WOOD STREET, SUITE 100, MC 675
CHICAGO, IL 60612
Cook County (312) 996-2933
MS. ELISSA MINJU KIM DDS
Student in an Organized Health Care Education/Training Program
820 SOUTH WOOD STREET, SUITE 100, MC 675
CHICAGO, IL 60612
Cook County (312) 996-2933
DR. WAN KWOK MD
Psychiatry & Neurology (Psychiatry)
820 SOUTH WOOD STREET, SUITE 100, MC 675
CHICAGO, IL 60612
Cook County (312) 996-2933
AMY BIBIANA DE LA TORRE MD
Student in an Organized Health Care Education/Training Program
820 SOUTH WOOD STREET, SUITE 100, MC 675
CHICAGO, IL 60612
Cook County (312) 996-2933
RYAN ALEXANDER GALLO MD, PHD
Student in an Organized Health Care Education/Training Program
820 SOUTH WOOD STREET, SUITE 100, MC 675
CHICAGO, IL 60612
Cook County (312) 996-2933
JULIA NEWMAN
Student in an Organized Health Care Education/Training Program
820 SOUTH WOOD STREET, SUITE 100, MC 675
CHICAGO, IL 60612
Cook County (312) 996-2933

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luna Nasry's NPI number?

The NPI number for Luna Nasry is 1053051789. It was assigned to this individual provider in the NPPES registry on March 30, 2022.

Where is Luna Nasry located?

Luna Nasry practices at 820 South Wood Street Suite 100, Mc 675, Chicago, IL 60612. The listed phone number is (312) 996-2933.

What is Luna Nasry's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Luna Nasry enrolled in Medicare?

Yes. Luna Nasry is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Luna Nasry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luna Nasry reassigns Medicare benefits to The Board Of Trustees Of The University Of Illinois (Chicago, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Luna Nasry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Luna Nasry was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.