Individual provider Active NPI

Lawrence Vincent Gratkins, MD

  • Obstetrics & Gynecology Physician
  • Normal, IL
National Provider Identifier
1912003013
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036059120 Issued in IL
Practice address
1300 Franklin Ave Ste 270
Normal, IL 61761-3691
Phone
(309) 454-1074
Fax
(309) 454-3554
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036059120 IL Primary

Addresses

Primary practice location

1300 Franklin Ave Ste 270
Normal, IL 61761-3691

Mailing address

1300 Franklin Ave
Ste 270
Normal, IL 61761-3691
Phone (309) 454-1074

Other practice location 1

1120 N Melvin St
Gibson City, IL 60936-1477
Phone (217) 784-2340

Other identifiers 1

IdentifierTypeStateIssuer
036059120MedicaidIL

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
I20050608000062 IL Practitioner - Obstetrics/Gynecology 5799728101 Reassigns benefits to 3 organizations
I20251103000687 IN Practitioner - Obstetrics/Gynecology 5799728101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gibson Community Hospital AssociationGroup PAC ID 5092703124, 159 clinicians
Seven Hills OB-GYN Associates LLCGroup PAC ID 0749188142, 88 clinicians

Practice addresses (Care Compare)

1120 N Melvin St
Gibson City, IL 60936-1477
Phone (217) 784-4251

1300 Franklin Ave
Suite 270
Normal, IL 61761-3691
Phone (309) 454-1074

8051 S Emerson Ave
400 OBGYN of Indiana South
Indianapolis, IN 46237-8633
Phone (317) 865-3600

Hospital & facility affiliations

  • Gibson Community Hospital Hospital, Gibson City, IL, CCN 141317
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Carle Bromenn Medical Center Hospital, Normal, IL, CCN 140127
  • St Joseph Medical Center Hospital, Bloomington, IL, CCN 140162

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036059120ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gibson Community Hospital Association Current Accepting new patients
Obstetrics & Gynecology II, LTD Obstetrics & Gynecology CurrentSince Dec 1, 2002 Accepting new patients
Seven Hills OB-GYN Associates, LLC Obstetrics & Gynecology CurrentSince Oct 10, 2025 Accepting new patients
Seven Hills OB-GYN Associates LLC Obstetrics & Gynecology CurrentSince Oct 10, 2025 Accepting new patients
Gibson Community Hospital Association CurrentSince Feb 1, 2024 Accepting new patients
Gibson Community Hospital Association CurrentSince Feb 1, 2024 Accepting new patients

Locations

101 S Major St
Eureka, IL 61530
Phone (309) 268-2172

1120 N Melvin St
Gibson City, IL 60936
Phone (217) 355-1684

7 Doctors Park
Gibson City, IL 60936
Phone (217) 784-5500

1300 Franklin Ave
Ste 270
Normal, IL 61761
Phone (309) 454-1074

1302 Franklin Ave
Ste 2800
Normal, IL 61761
Phone (309) 268-6300

11405 Pennsylvania St
Ste 260
Carmel, IN 46032
Phone (317) 334-5718

8051 S Emerson Ave
Ste 400
Indianapolis, IN 46237
Phone (317) 865-3600

Organizations & group practices 6

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 27

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1912003013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 FRANKLIN AVE",
            "address_2": "STE 270",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617613691",
            "telephone_number": "309-454-1074",
            "fax_number": "309-454-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 FRANKLIN AVE STE 270",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617613691",
            "telephone_number": "309-454-1074",
            "fax_number": "309-454-3554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 N Melvin St",
            "address_purpose": "LOCATION",
            "city": "Gibson City",
            "state": "IL",
            "postal_code": "609361477",
            "country_code": "US",
            "telephone_number": "217-784-2340",
            "fax_number": "217-784-2334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRATKINS",
        "first_name": "LAWRENCE",
        "middle_name": "VINCENT",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036059120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036059120",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Normal, IL

Sources for this page

Verify at the official NPI Registry.