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MR. ANDRES ALBERTO GIRALDO MD
NPI 1366460933
Internal Medicine in Lincolnwood, IL

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
6540 N LINCOLN AVE, LINCOLNWOOD, IL 60712(847) 779-7700(847) 779-7701 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Andres Alberto Giraldo Md NPPES

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

MR. ANDRES ALBERTO GIRALDO MD (NPI 1366460933) is an individual internal medicine provider in Lincolnwood, Illinois, licensed in Illinois (036104998) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Advocate Illinois Masonic Medical Center, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1366460933
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. ANDRES ALBERTO GIRALDOCredential: MD
Location Address6540 N LINCOLN AVELincolnwood, IL 60712-3927
Mailing Address29373 Network PlChicago, IL 60673-1293
Phone(847) 779-7700
Fax(847) 779-7701
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateJuly 18, 2006
Last NPPES UpdateApril 30, 2025
NPPES CertifiedApril 30, 2025
✔ NPI 1366460933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036104998
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6540 N LINCOLN AVE, Lincolnwood, IL 60712
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Other Identifiers 3

Other110245995IL · Medicare Railroad
Medicaid036104998IL
OtherCC0436IL · Medicare Railroad

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Andres Alberto Giraldo Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749468007
PECOS Enrollment IDI20110711000285
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 Andres Giraldo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advocate Health And Hospitals Corp.
5.1 mi
Cardiovascular Disease
3118 N ASHLAND AVE
Chicago, IL 60657
  • Reassigned Medicare billing, Illinois enrollment
  • 4,870 clinicians in this Medicare group
NPI 1487951711 (773) 880-9722

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

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
440 services216 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
312 services188 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
139 services139 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
85 services70 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
65 services61 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
65 services61 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Advocate Illinois Masonic Medical Center

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140182
Location836 West Wellington AvenueChicago, IL 60657 · Cook County
Emergency services Birthing friendly

Advocate Lutheran General Hospital

Acute Care Hospitals · Park Ridge, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140223
Location1775 Dempster StPark Ridge, IL 60068 · Cook County
Emergency services Birthing friendly

Presence Saint Joseph Hospital - Chicago

Acute Care Hospitals · Chicago, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140224
Location2900 North Lake Shore DriveChicago, IL 60657 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60712 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
16 suppliers34 claims104 services$6.03 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers16 claims22 services$1.06 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
1 supplier13 claims85 services$2.48 avg. paid by Medicare
Tape, non-waterproof, per 18 square inches A4450
DME-Medical/Surgical Supplies · category DA000N
1 supplier19 claims860 services$0.07 avg. paid by Medicare
Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
1 supplier22 claims340 services$0.30 avg. paid by Medicare
Ostomy pouch, drainable; with barrier attached, (1 piece), each A5061
DME-Orthotic Devices · category DF010N
1 supplier22 claims840 services$3.25 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

ERIN NUSBAUM MD
Internal Medicine
6540 N LINCOLN AVE
LINCOLNWOOD, IL 60712
Cook County (847) 779-7700
EMILY BANKS
Behavior Analyst
6540 N LINCOLN AVE
LINCOLNWOOD, IL 60712
Cook County (224) 701-5401
MEIR HILDESHAIM
Physical Therapist
6540 N LINCOLN AVE, SUITE 100
LINCOLNWOOD, IL 60712
Cook County (847) 779-7900
DARELL VELASCO
Physical Therapy Assistant
6540 N LINCOLN AVE, SUITE 100
LINCOLNWOOD, IL 60712
Cook County (847) 779-7900
KRISTINA WILLIAMS PT
Physical Therapist
6540 N LINCOLN AVE, SUITE 100
LINCOLNWOOD, IL 60712
Cook County (847) 779-7900
ILLINOIS BONE AND JOINT INSTITUTE LLC
Physical Therapist
6540 N LINCOLN AVE, SUITE 100
LINCOLNWOOD, IL 60712
Cook County (847) 779-7900
ARMINIO SURUCCI M.D.
Internal Medicine
6540 N LINCOLN AVE
LINCOLNWOOD, IL 60712
Cook County (847) 779-7700

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 Andres Giraldo's NPI number?

The NPI number for Andres Giraldo is 1366460933. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Andres Giraldo located?

Andres Giraldo practices at 6540 N Lincoln Ave, Lincolnwood, IL 60712. The listed phone number is (847) 779-7700.

What is Andres Giraldo's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Andres Giraldo enrolled in Medicare?

Yes. Andres Giraldo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Andres Giraldo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andres Giraldo reassigns Medicare benefits to Advocate Health And Hospitals Corp. (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 Andres Giraldo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andres Giraldo accept?

Health plans from Oscar Health list Andres Giraldo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Andres Giraldo affiliated with any hospitals?

According to CMS data, Andres Giraldo is affiliated with Advocate Illinois Masonic Medical Center, Advocate Lutheran General Hospital and Presence Saint Joseph Hospital - Chicago.

When was this NPI record last updated?

The NPPES record for Andres Giraldo was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.