NPIMap

Individual provider Active NPI

Michael J Grecula, M.D.

  • Orthopaedic Surgery Physician
  • Beaumont, TX
National Provider Identifier
1952480550
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
J5336 Issued in TX
Practice address
3650 Laurel Street
Beaumont, TX 77707
Phone
(409) 838-0346
Fax
(409) 839-3720
NPI assigned
Nov 3, 2006
Last updated
May 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 036077304 IL
Orthopaedic Surgery Physician 207X00000X J5336 TX Primary

Addresses

Primary practice location

3650 Laurel Street
Beaumont, TX 77707

Mailing address

3650 Laurel Street
Beaumont, TX 77707
Phone (409) 838-0346

Other practice location 1

350 N Wall St
Kankakee, IL 60901-2991
Phone (815) 933-1761

Other practice location 2

100 Riverside Dr
Bourbonnais, IL 60914-4607
Phone (815) 802-7090

Other identifiers 4

IdentifierTypeStateIssuer
8BE152OtherTXBCBS OF TEXAS
129736806MedicaidTX
129736807OtherTXCSHCN
129736802MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, IL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171113002490 CA Practitioner - Orthopedic Surgery 2365505401 Reassigns benefits to 1 organization
I20190128000793 IL Practitioner - General Surgery 2365505401 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036077304ILMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central PA Pharmacy LLC. Current Accepting new patients
Dignity Health Medical Foundation Current Accepting new patients
Osf Multi-Specialty Group CurrentSince Jan 4, 2019 Accepting new patients
Catholic Healthcare West Past Accepting new patients
Harris County Hospital District Past Accepting new patients
Riverside Health System Past Accepting new patients
University of Texas Medical Branch at Galveston Past Accepting new patients
Ottawa Regional Hospital & Healthcare Center Past Accepting new patients
Riverside Medical Center Past Accepting new patients
Utmb Faculty Group Practice Past Accepting new patients
Memorial Hermann Health System Past Accepting new patients

Locations

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

1050 E Norris Dr
Ste 3A
Ottawa, IL 61350
Phone (815) 431-5746

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1952480550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 LAUREL STREET",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77707",
            "telephone_number": "409-838-0346",
            "fax_number": "409-839-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 LAUREL STREET",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77707",
            "telephone_number": "409-838-0346",
            "fax_number": "409-839-3720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 N Wall St",
            "address_purpose": "LOCATION",
            "city": "Kankakee",
            "state": "IL",
            "postal_code": "609012991",
            "country_code": "US",
            "telephone_number": "815-933-1761",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Riverside Dr",
            "address_purpose": "LOCATION",
            "city": "Bourbonnais",
            "state": "IL",
            "postal_code": "609144607",
            "country_code": "US",
            "telephone_number": "815-802-7090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRECULA",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036077304",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "J5336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "8BE152",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129736806",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "129736807",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129736802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.