Jacek W Graczykowski, MD

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

Practice address

973 Featherstone Rd
Suite 100
Rockford, IL 61107-5912

Phone

(815) 986-3737

Fax

(815) 986-3748

NPI assigned

Mar 16, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 14, 2009 through May 14, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Fertility & Reproductive Endocrinology Specialists

  • Reproductive Endocrinology Physician
  • Rockford, IL
  • NPI 1750502464
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881728129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "973 FEATHERSTONE RD",
            "address_2": "SUITE 100",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075912",
            "telephone_number": "815-986-3737",
            "fax_number": "815-986-3748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "973 FEATHERSTONE RD",
            "address_2": "SUITE 100",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075912",
            "telephone_number": "815-986-3737",
            "fax_number": "815-986-3748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACZYKOWSKI",
        "first_name": "JACEK",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Gordon, PA-C
• Linda Louise Gossett, RN, BSN
• Kavitha Gowda, D.D.S.
• Ruby Lanelle Gowdy
• Vijay K Goyal, M.D.
• Grand Smiles 4, PLLC
• Grand Victorian of Rockford
• Grand Victorian of Rockford, LLC
• Aleah Aaron Grant, NP
• Ronald S Grant, MD

• Reproductive Endocrinology Physician in Rockford, IL
• Providers in Rockford, IL by specialty
• Reproductive Endocrinology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.