Individual provider Active NPI

Irene Graziani, MD, PHD

  • Internal Medicine Physician
  • Long Grove, IL
National Provider Identifier
1043516396
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036131271 Issued in IL
Practice address
3880 Salem Lake Dr
Ste F
Long Grove, IL 60047-5292
Phone
(847) 719-2220
Fax
(847) 719-2265
NPI assigned
Feb 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 036131271 IL
Internal Medicine Physician 207R00000X 036131271 IL Primary
Internal Medicine Physician 207R00000X 125060021 IL
Hospitalist Physician 208M00000X 0101276087 VA

Addresses

Primary practice location

3880 Salem Lake Dr
Ste F
Long Grove, IL 60047-5292

Mailing address

3880 Salem Lake Dr
Ste F
Long Grove, IL 60047-5292
Phone (847) 719-2220

Other practice location 1

400 Maple Summit Rd
Jerseyville, IL 62052-2028
Phone (161) 849-8840

Other practice location 2

500 J Clyde Morris Blvd
Newport News, VA 23601-1929
Phone (757) 594-3580

Other identifiers 1

IdentifierTypeStateIssuer
036131271MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA, ME3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20131002000286 IL Practitioner - HospitalistPractitioner - Internal Medicine 2567696727 Reassigns benefits to 4 organizations
I20211207000285 IA Practitioner - HospitalistPractitioner - Internal Medicine 2567696727 Reassigns benefits to 4 organizations
I20240109003821 ME Practitioner - Internal Medicine 2567696727 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. 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, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
125060021ILMDInternal Medicine Physician
0101276087VAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MRH Corp. CurrentSince Dec 3, 2023 Accepting new patients
Rockford Health Physicians CurrentSince Dec 23, 2019 Accepting new patients
Best Practices Inpatient Care,LTD Internal Medicine CurrentSince Sep 1, 2013 Accepting new patients
Belmond Community Hospital CurrentSince Nov 5, 2021 Accepting new patients
MRH Corp. CurrentSince Dec 3, 2023 Accepting new patients
Best Practices Inpatient Care, LTD. Internal Medicine CurrentSince Sep 1, 2013 Accepting new patients
Sound Physicians of Illinois, LLC Internal Medicine CurrentSince May 1, 2016 Accepting new patients
Freeport Memorial Hospital CurrentSince Sep 3, 2016 Accepting new patients
Iowa Specialty Hospital- Clarion Past Accepting new patients
Mercy Hospital Past Accepting new patients
MRH Corp. Past Accepting new patients
KSB Medical Group, Inc. Internal Medicine Past Accepting new patients

Locations

403 1st St SE
Belmond, IA 50421
Phone (641) 444-3223

1316 S Main St
Clarion, IA 50525
Phone (515) 532-2811

800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150

106 Barrington Commons Ct
Unit 1790
Barrington, IL 60011
Phone (847) 719-2220

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

1045 W Stephenson St
Freeport, IL 61032
Phone (815) 599-6105

3880 Salem Lake Dr
Ste F
Long Grove, IL 60047
Phone (847) 719-2220

1300 Franklin Ave
Ste 380
Normal, IL 61761
Phone (309) 268-3589

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

450 W State Route 22
South Barrington, IL 60010
Phone (847) 381-0123

492 Main St
Corinth, ME 04427
Phone (207) 285-3312

897 W Main St
Dovr Foxcroft, ME 04426
Phone (207) 564-4464

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1043516396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 SALEM LAKE DR",
            "address_2": "STE F",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600475292",
            "telephone_number": "847-719-2220",
            "fax_number": "847-719-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 SALEM LAKE DR",
            "address_2": "STE F",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600475292",
            "telephone_number": "847-719-2220",
            "fax_number": "847-719-2265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Maple Summit Rd",
            "address_purpose": "LOCATION",
            "city": "Jerseyville",
            "state": "IL",
            "postal_code": "620522028",
            "country_code": "US",
            "telephone_number": "161-849-8840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 J Clyde Morris Blvd",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236011929",
            "country_code": "US",
            "telephone_number": "757-594-3580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAZIANI",
        "first_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-03",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036131271",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036131271",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125060021",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": "0101276087",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036131271",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Grove, IL

Sources for this page

Verify at the official NPI Registry.