Marius Dorin Gradianu, D.O.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036154553 Issued in IL

Practice address

152 N Addison Ave
Elmhurst, IL 60126-2821

Phone

(630) 833-9621

NPI assigned

May 8, 2013

Last updated

May 18, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Ophthalmology

Education

Kansas City University of Med & Biosciences, College of Osteo Med, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kovach Eye Institute LTDGroup PAC ID 9032165071, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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

• Kovach Eye Institute, LTD

  • Ophthalmology Physician
  • Elmhurst, IL
  • NPI 1669498267
  Medicare reassignment Care Compare group NPD
• Fox Valley Laser Center

  • Optometrist
  • Naperville, IL
  • NPI 1023243847
  NPD (past)

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1144665878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 N ADDISON AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262821",
            "telephone_number": "630-833-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 N ADDISON AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262821",
            "telephone_number": "630-833-9621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2877 Crooks Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480844717",
            "country_code": "US",
            "telephone_number": "248-822-7003",
            "fax_number": "248-822-7008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 N East Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "49201",
            "country_code": "US",
            "telephone_number": "517-788-4800 x3998",
            "fax_number": "517-817-7050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2575 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "492021867",
            "country_code": "US",
            "telephone_number": "269-888-4432",
            "fax_number": "269-585-6259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRADIANU",
        "first_name": "MARIUS",
        "middle_name": "DORIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-08",
        "last_updated": "2023-05-18",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036154553",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "5101020454",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS STATE LICENSE",
            "identifier": "036.154553",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144665878",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren M Gorski, PT
• Philip W. Gotsch, D.D.S.
• Elizabeth Irene Gozdziak, PHARM.D.
• Grace Integrated Behavioral Health Center PLLC
• Therese Marren Gracey, MD
• Amanda Graf, M.A. BCBA
• Catherine Marie Graham, R.D., L.D.N., C.D.E.
• Joseph Lawrence Graham, DO
• Victoria K Grannan-Manchen, D.D.S.
• Abbey Marie Graves, PA-C

• Ophthalmology Physician in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.