DR. IRENE GRAZIANI (MD, PHD) – Internal Medicine Physician, NPI 1043516396
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. IRENE GRAZIANI (MD, PHD)
3880 SALEM LAKE DR
STE F
LONG GROVE, IL 600475292
Phone: (847) 719-2220
Fax: (847) 719-2265
Type: Mailing
400 Maple Summit Rd
Jerseyville, IL 620522028
Phone: (161) 849-8840
Type: Location
500 J Clyde Morris Blvd
Newport News, VA 236011929
Phone: (757) 594-3580
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-01-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20131002000286 | I | Hospitalist | IL | TBD |
| I20211207000285 | I | Hospitalist | IA | TBD |
| I20240109003821 | I | Internal Medicine | ME | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60047)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | WI | |
| - | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| Family Practice | IL | |
| Emergency Medicine | IL | |
| Hematology/Oncology, Internal Medicine | IL | |
| - | IL | |
| - | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL |
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