Individual provider Active NPI

Carmen Luminita Griza, MD

  • Family Medicine Physician
  • Des Plaines, IL
National Provider Identifier
1861658460
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036126995 Issued in IL
Practice address
150 N River Rd
Suite 310
Des Plaines, IL 60016-1272
Phone
(847) 795-0900
Fax
(847) 795-0955
NPI assigned
Aug 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036126995 IL Primary

Addresses

Primary practice location

150 N River Rd
Suite 310
Des Plaines, IL 60016-1272

Mailing address

150 N River Rd
Suite 310
Des Plaines, IL 60016-1272
Phone (847) 795-0900

Other identifiers 1

IdentifierTypeStateIssuer
036126995MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cgriza251655@direct.myadvocateaurora.org
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110921000299 IL Practitioner - Family Practice 9830360908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Suburban Family Medicine LTDGroup PAC ID 8022270412, 3 clinicians

Practice addresses (Care Compare)

150 N River Rd
Suite 310
Des Plaines, IL 60016-1272
Phone (847) 795-0900

Hospital & facility affiliations

  • Advocate Home Health Care Serv Home health agency, Oakbrook, IL, CCN 147150
  • Amita Health Resurrection Medical Center Hospital, Chicago, IL, CCN 140117
  • Advocate Lutheran General Hospital Hospital, Park Ridge, IL, CCN 140223
  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252
  • Holy Family Medical Center Long-term care hospital, Des Plaines, IL, CCN 142011

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Suburban Family Medicine LTD Family Medicine CurrentSince Jan 20, 2014 Accepting new patients

Locations

7447 W Talcott Ave
Ste 327
Chicago, IL 60631
Phone (773) 763-1344

150 N River Rd
Ste 310
Des Plaines, IL 60016
Phone (847) 795-0900

Interoperability endpoints

  • Direct secure messaging: cgriza251655@direct.myadvocateaurora.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1217721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1861658460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N RIVER RD",
            "address_2": "SUITE 310",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161272",
            "telephone_number": "847-795-0900",
            "fax_number": "847-795-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N RIVER RD",
            "address_2": "SUITE 310",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161272",
            "telephone_number": "847-795-0900",
            "fax_number": "847-795-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIZA",
        "first_name": "CARMEN",
        "middle_name": "LUMINITA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-03",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036126995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036126995",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cgriza251655@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "150 N River Rd",
            "address_2": "SUITE 310",
            "city": "Des Plaines",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600161272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "150 N River Rd",
            "address_2": "SUITE 310",
            "city": "Des Plaines",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600161272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

Verify at the official NPI Registry.