Richard J Grostern, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036097434 Issued in IL

Practice address

1725 W Harrison St Ste 918
Chicago, IL 60612-3863

Phone

(312) 942-2734

Fax

(312) 942-2156

NPI assigned

Dec 10, 2005

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

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

OphthalmologyAlso: Pathology

Education

Other, 1995

Medicare assignment

May accept Medicare assignment

Group practices

University Pathology Diagnostics SCGroup PAC ID 1052692464, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rgrostern3899@direct.rush.rush-health.com

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.

• University Pathology Diagnostics SC

  • Anatomic Pathology & Clinical Pathology Physician
  • Chicago, IL
  • NPI 1275088130
  Medicare reassignment Care Compare group NPD
• University Ophthalmology Associates, LTD

  • Ophthalmology Physician
  • Chicago, IL
  • NPI 1689726903
  Medicare reassignment NPD
• University Pathologists P C

  • Anatomic Pathology & Clinical Pathology Physician
  • Chicago, IL
  • NPI 1003890534
  Medicare reassignment NPD
• Oak Park Eye Center S.C.

  • Ophthalmology Physician
  • Elmwood Park, IL
  • NPI 1386736650
  NPD
• University Ophthalmology Associates, LTD

  • Ophthalmology Physician
  • Skokie, IL
  • NPI 1245382126
  NPD

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

{
    "created_epoch": "1134172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358035200000",
    "number": "1902881170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST STE 918",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123863",
            "telephone_number": "312-942-2734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST STE 918",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123863",
            "telephone_number": "312-942-2734",
            "fax_number": "312-942-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSTERN",
        "first_name": "RICHARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-10",
        "last_updated": "2013-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "036097434",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036097434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Robbin Grossman, JD, PHD
• Michael P Grossman, MD
• Sara Grossman
• Sarah Grossman
• Margaret Grossnickle
• Earle Ronald Kelwyn Grosvenor, MA, LPC
• Raymond Stanley Groszek, DDS
• Christopher Lee Grote, PH.D.
• Hannah Danielle Groth
• Sara Anne Groth, MA

• Ophthalmology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2013; 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.