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LUTHERAN MEDICAL CARE PLLC
NPI 1134410780
Internal Medicine - Critical Care Medicine in Brooklyn, NY

Active since April 29, 2011
8201 4TH AVE APT 1D, BROOKLYN, NY 11209(718) 630-5409(718) 748-5467 Get Directions Write a Review

NPPES record last updated: April 29, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lutheran Medical Care Pllc NPPES

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

LUTHERAN MEDICAL CARE PLLC (NPI 1134410780) is a healthcare organization registered as a critical care medicine in Brooklyn, New York and active in the NPI registry since April 2011. The organization lists Eugene Gibilaro, President, as its authorized official.

NPPES Registry Identity

NPI1134410780
Entity TypeOrganization
Primary Taxonomy207RC0200X
Legal Business NameLUTHERAN MEDICAL CARE PLLC
Location Address8201 4TH AVE APT 1DBrooklyn, NY 11209-4429
Mailing Address8201 4th Ave Apt 1dBrooklyn, NY 11209-4429 · (718) 630-5409 · Fax (718) 748-5467
Phone(718) 630-5409
Fax(718) 748-5467
Organization SubpartNo
Authorized OfficialEugene GibilaroPresident · (718) 630-5409
Enumeration DateApril 29, 2011
✔ NPI 1134410780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
8201 4TH AVE APT 1D, Brooklyn, NY 11209
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lutheran Medical Care Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20111108000907Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lutheran Medical Care PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Eugene Gibilaro, M.D.
Internal Medicine
NPI 1043267610
421 78TH ST STE B
Brooklyn, NY 11209
(718) 630-5408
✔ PECOS✔ Accepts Medicare0.2 mi

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

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 Lutheran Medical Care PLLC's NPI number?

The NPI number for Lutheran Medical Care PLLC is 1134410780. It was assigned to this organization in the NPPES registry on April 29, 2011.

Where is Lutheran Medical Care PLLC located?

Lutheran Medical Care PLLC is located at 8201 4th Ave Apt 1D, Brooklyn, NY 11209. The listed phone number is (718) 630-5409.

What is Lutheran Medical Care PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Lutheran Medical Care PLLC enrolled in Medicare?

Yes. Lutheran Medical Care PLLC is registered in the Medicare PECOS enrollment system.

When is Lutheran Medical Care PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Lutheran Medical Care PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Lutheran Medical Care PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lutheran Medical Care PLLC was last updated on April 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.