Individual provider Active NPI

Griffin Robert Myers, M.D.

  • Emergency Medicine Physician
  • Chicago, IL
National Provider Identifier
1871817643
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01074870A Issued in IN
Practice address
1715 E 95TH St
Chicago, IL 60617-4708
Phone
(312) 600-8484
Fax
(773) 866-8014
NPI assigned
Mar 22, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01074870A IN Primary

Addresses

Primary practice location

1715 E 95TH St
Chicago, IL 60617-4708

Mailing address

30 W Monroe St Ste 1200
Chicago, IL 60603-2420
Phone (312) 600-8484

Other identifiers 2

IdentifierTypeStateIssuer
254336OtherMAMA STATE LICENSE
036-132088OtherILIL STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, SC, AL, OH4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20130815000938 IL Practitioner - Emergency MedicinePractitioner - General Practice 7719145127 Reassigns benefits to 1 organization
I20210303003257 SC Practitioner - Emergency Medicine 7719145127
I20210517001122 AL Practitioner - Emergency Medicine 7719145127
I20230515001391 OH Practitioner - Emergency Medicine 7719145127 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01074870AINMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group, PC CurrentSince Sep 5, 2013 Accepting new patients
Osh-Oh Physicians Group PC CurrentSince Mar 5, 2023 Accepting new patients
Oak Street Health Physicians Group of South Carolina, LLC CurrentSince Mar 31, 2021 Accepting new patients
Osh-in Physicians Group, PC PastSince Jan 1, 2023 Accepting new patients
Oak Street Health Physicians Group of Mississippi, LLC PastSince Jan 1, 2023 Accepting new patients
Oakwell Illinois Physicians PLLC PastSince Oct 2, 2023 Accepting new patients
Oak Street Health Physicians Group of Arizona PLLC PastSince Jul 22, 2021 Accepting new patients
Oak Street Health of Texas, PLLC PastSince Jan 1, 2023 Accepting new patients
Osh Mi Physicians Group, PC PastSince Oct 1, 2019 Accepting new patients

Locations

4848 W Irving Park Rd
Chicago, IL 60641
Phone (773) 724-6200

30 W Monroe St
Ste 1200
Chicago, IL 60603
Phone (773) 609-1758

1715 E 95th St
Chicago, IL 60617
Phone (773) 768-4437

2420 State St
East Saint Louis, IL 62205
Phone (618) 318-8809

10553 Saint Clair Ave
Cleveland, OH 44108
Phone (216) 682-7702

6119 White Horse Rd
Ste 14
Greenville, SC 29611
Phone (864) 614-7001

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1871817643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W MONROE ST STE 1200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606032420",
            "telephone_number": "312-600-8484",
            "fax_number": "773-866-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 E 95TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606174708",
            "telephone_number": "312-600-8484",
            "fax_number": "773-866-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "GRIFFIN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-22",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01074870A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA STATE LICENSE",
            "identifier": "254336",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL STATE LICENSE",
            "identifier": "036-132088",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.