Gerardo A Grieco, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036-061804 Issued in IL

Practice address

1300 Franklin Ave
Suite 210
Normal, IL 61761-3592

Phone

(309) 452-1193

Fax

(309) 452-1349

NPI assigned

Aug 13, 2006

Last updated

Mar 29, 2018By 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 1

Addresses

Other identifiers 1

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

General Surgery

Education

Loyola University of Chicago, Stritch School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Vein Specialists, LLCGroup PAC ID 3870782915, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gerardo.grieco.1@21322.direct.athenahealth.com

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.

• The Vein Specialists, LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Bloomington, IL
  • NPI 1861703100
  Medicare reassignment Care Compare group NPD
• Dermatology and Skin Cancer Center

  • Dermatology Physician
  • Bloomington, IL
  • NPI 1093596652
  NPD
• Your Extra Hands Surgical Services

  • Surgical Assistant
  • Normal, IL
  • NPI 1154502466
  NPD
• Gibson Community Hospital Association

  dba Gibson Area Hospital and Health Services

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1245242403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 FRANKLIN AVE",
            "address_2": "SUITE 210",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617613592",
            "telephone_number": "309-452-1193",
            "fax_number": "309-452-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 FRANKLIN AVE",
            "address_2": "SUITE 210",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617613592",
            "telephone_number": "309-452-1193",
            "fax_number": "309-452-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIECO",
        "first_name": "GERARDO",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036-061804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-061804",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gravity Psychiatry & Wellness PLLC
• Amber Gray, RN
• Rita Green, RN
• Brenda Gregory, RN
• Aubrianna Joy Gremore
• Griesbaum Family Chiropractic S C
• Timothy Joseph Griesbaum, D.C.
• Anthony Griffin, CRNA
• Shannon Griffith, B.S.
• Sophia Grimmer

• Surgery Physician in Normal, IL
• Providers in Normal, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.