Individual provider Active NPI

Vytenis T Grybauskas, M.D.

  • Otolaryngology Physician
  • Palos Heights, IL
National Provider Identifier
1992797120
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
036061531 Issued in IL
Practice address
7350 W College Dr Ste 208
Palos Heights, IL 60463-1189
Phone
(708) 361-9199
Fax
(708) 361-9299
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 036061531 IL Primary

Addresses

Primary practice location

7350 W College Dr Ste 208
Palos Heights, IL 60463-1189

Mailing address

7350 W College Dr Ste 208
Palos Heights, IL 60463-1189
Phone (708) 361-9199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Century Ear Nose and Throat - Head and Neck Surgery Associates LTD Otolaryngology PastSince Mar 5, 2023 Accepting new patients

Organizations & group practices 1

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1992797120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7350 W COLLEGE DR STE 208",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631189",
            "telephone_number": "708-361-9199",
            "fax_number": "708-361-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 W COLLEGE DR STE 208",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631189",
            "telephone_number": "708-361-9199",
            "fax_number": "708-361-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRYBAUSKAS",
        "first_name": "VYTENIS",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036061531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.