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JESSICA LUO MD
NPI 1255917712
Surgery - Plastic and Reconstructive Surgery in Maywood, IL

Active since March 23, 2021PECOS Enrolled
2160 S 1ST AVE, MAYWOOD, IL 60153(708) 327-3041 Get Directions Write a Review

NPPES record last updated: June 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 24, 2021, Mar 23, 2021 (2 updates tracked since 2021).

About Jessica Luo Md NPPES

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

JESSICA LUO MD (NPI 1255917712) is an individual plastic and reconstructive surgery provider in Maywood, Illinois, licensed in Illinois (125078914) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255917712
Entity TypeIndividualFemale
Primary Taxonomy2086S0122X
Provider Legal NameJESSICA LUOCredential: MD
Location Address2160 S 1ST AVEMaywood, IL 60153-3328
Mailing Address2160 S 1st AveMaywood, IL 60153-3328
Phone(708) 327-3041
Sole ProprietorYes
Enumeration DateMarch 23, 2021
Last NPPES UpdateJune 24, 20212 updates tracked since enumeration
NPPES CertifiedMay 19, 2021
✔ NPI 1255917712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in IL · 125078914
Definition
A surgeon who specializes in plastic and reconstructive surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2160 S 1ST AVE, Maywood, IL 60153
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Luo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

ANITA OZA NAGAMINE M.D.
Radiology (Diagnostic Radiology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9000
DR. BRYCE ANDREW PASCHOLD D.P.M.
Podiatrist (Foot & Ankle Surgery)
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-4254
DR. ANTONIO HERNANDO IGLESIAS M.D.
Psychiatry & Neurology (Neurology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9000
IAN CHARLES MCCOMB
Oral & Maxillofacial Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9000
JAMES WU D.O.
Psychiatry & Neurology (Psychiatry)
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9000
PAIGE T SONG MD
Student in an Organized Health Care Education/Training Program
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (888) 584-7888
ELIZABETH CHO
Orthopaedic Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-1274
DR. CATHRYN T SAWALSKI DO, MBA
Internal Medicine
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (888) 584-7888

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 Jessica Luo's NPI number?

The NPI number for Jessica Luo is 1255917712. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Where is Jessica Luo located?

Jessica Luo practices at 2160 S 1st Ave, Maywood, IL 60153. The listed phone number is (708) 327-3041.

What is Jessica Luo's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Jessica Luo enrolled in Medicare?

Yes. Jessica Luo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Luo was last updated on June 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.