Calvin Alexander Grant, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036111343 Issued in IL

Practice address

7808 W College Dr
Suite 1-NW
Palos Heights, IL 60463-1027

Phone

(708) 499-0123

Fax

(708) 499-0611

NPI assigned

Jan 5, 2006

Last updated

Dec 1, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IAJCBD

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.

• Advanced Retinal Institute, Inc.

  • Ophthalmology Physician
  • Palos Heights, IL
  • NPI 1760666754
  Authorized official Same address or phone
• James C Liang MD SC

  dba Retina Macula Care

  • Ophthalmology Physician
  • Oak Lawn, IL
  • NPI 1144208596
  NPD (past)
• Retinal Vitreal Consultants LTD

  • Ophthalmology Physician
  • Chicago, IL
  • NPI 1164569380
  NPD (past)
• The Eye Specialists Center LLC

  • Ophthalmology Physician
  • Chicago Ridge, IL
  • NPI 1083684922
  NPD (past)
• The Eye Specialists Center, L.L.C.

  • Ophthalmology Physician
  • Chicago Ridge, IL
  • NPI 1699802421
  NPD (past)

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259625600000",
    "number": "1679551014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7808 W COLLEGE DR",
            "address_2": "SUITE 1-NW",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631027",
            "telephone_number": "708-499-0123",
            "fax_number": "708-499-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7808 W COLLEGE DR",
            "address_2": "SUITE 1-NW",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631027",
            "telephone_number": "708-499-0123",
            "fax_number": "708-499-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "CALVIN",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2009-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036111343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD IL",
            "identifier": "P00638025",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036111343",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036051267",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN IL MEDICARE COOK COUNTY",
            "identifier": "205785",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN IL MEDICARE DUPAGE COUNTY",
            "identifier": "205786",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "K47805",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1679551014",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emmett Patrick Grady, DDS
• Cristine Gramza, APRN,CNP
• Grand Smiles 3 PLLC
• Colleen A Graney, LCPC
• Granny's Blessings Homecare Services, Inc. (Granny's Blessings Staffing)
• Jeanine Marie Grant, LPC
• Bozana Grbic, OT
• Great Lakes Health & Wellness,SC
• Jalessia Lyray Green, PA-C
• Breanne Gremillion, PSYD

• Ophthalmology Physician in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.