Sandra Grochowski, MD
Individual provider Active NPI Emergency Medicine Physician · Chicago Heights, IL
NPI 1194776492 · NPPES record last updated Sep 19, 2018
Key facts
- NPI
- 1194776492
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 036.117340 (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
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 26
Hospital & facility affiliations 1
Medicare Care Compare profile
- 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
- Hospital and Medical Foundation of Paris Inc
Practice addresses (Care Compare)
721 E Court St
Paris, IL 61944-2460
Phone (217) 465-4141
Hospital & facility affiliations
- Paris Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.05 of 100
- Quality
- 72.1
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060629000159 | NY | Practitioner - Emergency Medicine | 5799797262 | Reassigns benefits to 2 organizations |
| I20070515000644 | IL | Practitioner - Emergency Medicine | 5799797262 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.117340 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emerge Medstaffing LLC | Current |
Accepting new patients | |
| Emergency Physician Services of New York, P.C. | Emergency Medicine | Current |
Accepting new patients |
| Buffalo Emergency Associates LLP | Emergency Medicine | Current |
Accepting new patients |
| Emerge Medstaffing LLC | Emergency Medicine | Current | Accepting new patients |
| Aurora Emergency Physicians, LLC | Emergency Medicine | Current |
Accepting new patients |
| Aurora Emergency Physicians, LLC | Emergency Medicine | Current |
Accepting new patients |
| Hospital & Medical Foundation of Paris, Inc. | Current |
Accepting new patients | |
| App of Illinois Ed PLLC | Emergency Medicine | Current |
Accepting new patients |
| Hospital & Medical Foundation of Paris, Inc. | Current |
Accepting new patients | |
| Hospital & Medical Foundation of Paris, Inc. | 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
727 E Court St
Paris, IL 61944
Phone (217) 465-4141
721 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
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- sandra.grochowski.1@11356.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036.117340 | IL | Yes |
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
Other providers in Chicago Heights, IL
- Grand Prairie Services
- Grand Prairie Services
- Grand Prairie Services
- Grand Prairie Services
- Ronald E. Greenspan
- Gina L Grosse
- Amber Gumm
- Anntrinia S Gunby
- Diane Gutierrez
- Joann Hardy
All providers in Chicago Heights, IL · Emergency Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.