Individual provider Active NPI

Gretchen L Byrkit, MD

  • Obstetrics & Gynecology Physician
  • Decatur, IL
National Provider Identifier
1104800044
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036098445 Issued in IL
Practice address
One Memorial Dr
Ste 216
Decatur, IL 62526-6322
Phone
(217) 875-5574
Fax
(217) 875-5724
NPI assigned
Dec 5, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036098445 IL Primary

Addresses

Primary practice location

One Memorial Dr
Ste 216
Decatur, IL 62526-6322

Mailing address

One Memorial Dr
Ste 216
Decatur, IL 62526-6322
Phone (217) 875-5574

Other identifiers 1

IdentifierTypeStateIssuer
036098445MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110602000392 IL Practitioner - Obstetrics/Gynecology 8224001888 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Decatur OBGYN Associates, LLC Obstetrics & Gynecology Current Accepting new patients
Women'S Health Care Specialists of Decatur, LLC Obstetrics & Gynecology CurrentSince Jun 1, 2011 Accepting new patients

Locations

1 Memorial Dr
Ste 300
Decatur, IL 62526
Phone (217) 428-6300

1 Memorial Dr
Ste 204
Decatur, IL 62526
Phone (217) 875-5545

1 Memorial Dr
Ste 216
Decatur, IL 62526
Phone (217) 424-0835

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307577600000",
    "number": "1104800044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE MEMORIAL DR",
            "address_2": "STE 216",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625266322",
            "telephone_number": "217-875-5574",
            "fax_number": "217-875-5724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE MEMORIAL DR",
            "address_2": "STE 216",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625266322",
            "telephone_number": "217-875-5574",
            "fax_number": "217-875-5724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRKIT",
        "first_name": "GRETCHEN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-05",
        "last_updated": "2011-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036098445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036098445",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

Verify at the official NPI Registry.