Jacek Grela, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036098225 Issued in IL

Practice address

1011 State St
Suite 140
Lemont, IL 60439-4768

Phone

(630) 754-0141

NPI assigned

Feb 15, 2006

Last updated

Jun 4, 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 2

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

Internal Medicine

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Integrity Home Healthcare, Inc Home health agency, Oak Lawn, IL, CCN 148255
• Advocate Christ Hospital & Medical Center Hospital, Oak Lawn, IL, CCN 140208
• Advocate Good Samaritan Hospital Hospital, Downers Grove, IL, CCN 140288

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Jacek Grela M.D., S.C.

  • Internal Medicine Physician
  • Lemont, IL
  • NPI 1366568297
  Medicare reassignment NPD Authorized official

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

• Advocate Health and Hospitals Corporation

  dba Advocate Children's Hospital

  • Children's Hospital
  • Oak Lawn, IL
  • NPI 1508315516
  Care Compare affiliation
• Advocate Health and Hospitals Corporation

  dba Advocate Christ Medical Center

  • General Acute Care Hospital
  • Oak Lawn, IL
  • NPI 1548375082
  Care Compare affiliation
• Advocate Health and Hospitals Corporation

  dba Advocate Good Samaritan Hospital

  • General Acute Care Hospital
  • Downers Grove, IL
  • NPI 1578670543
  Care Compare affiliation
• Integrity Home Healthcare, Inc.

  • Home Health Agency
  • Oak Lawn, IL
  • NPI 1033362199
  Care Compare affiliation

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244073600000",
    "number": "1700850625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10S570 GLENN DR",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605276822",
            "telephone_number": "708-636-1601",
            "fax_number": "708-636-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 STATE ST",
            "address_2": "SUITE 140",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604394768",
            "telephone_number": "630-754-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRELA",
        "first_name": "JACEK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2009-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036098225",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-098225",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036098225",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gentle Care Transportation
• Linda P Ghanayem, PHARM.D.
• Michaela Gold
• Amber Gonzalez
• Katherine O Gorski, P.T.
• Glenn Robert Groselak
• Jacob G Groselak, DMD
• Amanda Grzeslo, CADC
• GTF Rehabilitation Services Corp
• Karen Habercoss

• Internal Medicine Physician in Lemont, IL
• Providers in Lemont, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; 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.