Individual provider Active NPI

Sandra Grochowski, MD

  • Emergency Medicine Physician
  • Chicago Heights, IL
National Provider Identifier
1194776492
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036.117340 Issued in IL
Practice address
30 E 15TH St
Chicago Heights, IL 60411-3459
Phone
(312) 206-1064
Fax
(708) 991-2630
NPI assigned
May 12, 2006
Last updated
Sep 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036.117340 IL Primary

Addresses

Primary practice location

30 E 15TH St
Chicago Heights, IL 60411-3459

Mailing address

PO Box 786
Flossmoor, IL 60422-0786
Phone (312) 206-1064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20060629000159 NY Practitioner - Emergency Medicine 5799797262 Reassigns benefits to 2 organizations
I20070515000644 IL Practitioner - Emergency Medicine 5799797262 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

721 E Court St
Paris, IL 61944-2460
Phone (217) 465-4141

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as apm
Quality
72.1
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.117340ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
App of Illinois Ed PLLC Emergency Medicine CurrentSince Dec 10, 2016 Accepting new patients
Emergency Physician Services of New York, P.C. Emergency Medicine CurrentSince Oct 31, 2010 Accepting new patients
Aurora Emergency Physicians, LLC Emergency Medicine CurrentSince Dec 30, 2017 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince Jul 1, 2021 Accepting new patients
Emerge Medstaffing LLC CurrentSince Sep 15, 2018 Accepting new patients
Aurora Emergency Physicians, LLC Emergency Medicine CurrentSince Dec 30, 2017 Accepting new patients
Buffalo Emergency Associates LLP Emergency Medicine CurrentSince Jul 23, 2012 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince Jul 1, 2021 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince Jan 13, 2026 Accepting new patients
Emerge Medstaffing LLC Emergency Medicine Current Accepting new patients
Emergency Medicine Physicians of Kankakee County, LLC Emergency Medicine Past Accepting new patients

Locations

2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200

30 E 15th St
Chicago Hts, IL 60411
Phone (312) 206-1064

20180 S Lagrange Rd
Frankfort, IL 60423
Phone (630) 362-1035

1050 Red Oak Ln
Lindenhurst, IL 60046
Phone (847) 356-4700

721 E Court St
Paris, IL 61944
Phone (217) 465-4141

727 E Court St
Paris, IL 61944
Phone (217) 465-4141

1324 N Sheridan Rd
Waukegan, IL 60085
Phone (847) 360-3000

2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501

2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: sandra.grochowski.1@11356.direct.athenahealth.com

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1194776492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 786",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604220786",
            "telephone_number": "312-206-1064",
            "fax_number": "708-991-2630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E 15TH ST",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604113459",
            "telephone_number": "312-206-1064",
            "fax_number": "708-991-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROCHOWSKI",
        "first_name": "SANDRA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036.117340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago Heights, IL

Sources for this page

Verify at the official NPI Registry.