Individual provider Active NPI

Eric Omar Griffin, M.D.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1881614469
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-098681 Issued in IL
Practice address
3201 S Rhodes Ave
Chicago, IL 60616-4039
Phone
(312) 969-1911
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-098681 IL Primary

Addresses

Primary practice location

3201 S Rhodes Ave
Chicago, IL 60616-4039

Mailing address

3201 S Rhodes Ave
Chicago, IL 60616-4039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20070406000154 IL Practitioner - Internal Medicine 4284738949 Reassigns benefits to 1 organization
I20170707002819 IN Practitioner - Internal Medicine 4284738949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Michigan Medical School, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care of Illinois PCGroup PAC ID 6002040276, 36 clinicians
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

4200 Mannheim Rd
Schiller Park, IL 60176-1872
Phone (847) 801-5170

5604 W 74TH St
Concentra Urgent Care
Indianapolis, IN 46278-1752
Phone (317) 290-1551

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-098681ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care PA CurrentSince May 24, 2017 Accepting new patients
American Current Care of Illinois PC CurrentSince Aug 1, 2013 Accepting new patients
American Current Care of Illinois PC CurrentSince Aug 1, 2013 Accepting new patients
American Current Care P.a. CurrentSince May 24, 2017 Accepting new patients
Midwest Behavioral Associates LLC Internal Medicine PastSince May 1, 2006 Accepting new patients

Locations

1030 W Chicago Ave
Chicago, IL 60642
Phone (312) 243-0028

7421 Cass Ave
Darien, IL 60561
Phone (630) 286-5300

10137 Grand Ave
Franklin Park, IL 60131
Phone (847) 451-7590

555 Valley View Dr
Moline, IL 61265
Phone (309) 764-9675

4200 Mannheim Rd
Schiller Park, IL 60176
Phone (847) 801-5170

5604 W 74th St
Indianapolis, IN 46278
Phone (317) 290-1551

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Organizations & group practices 5

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881614469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 S RHODES AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606164039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 S RHODES AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606164039",
            "telephone_number": "312-969-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "ERIC",
        "middle_name": "OMAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-098681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.