DR. DOROTHY K GRANGE (MD) – Clinical Genetics (M.D.) Physician, NPI 1801812128

DR. DOROTHY K GRANGE (MD) is a healthcare provider. based in Chicago, Illinois. specializing in PEDIATRIC MEDICINE, MEDICAL GENETICS AND GENOMICS. They hold the professional credentials MD. They hold a License No. R9J19 (MO). The NPI Number for DR. DOROTHY K GRANGE (MD) is 1801812128

Main info

Female
45 Years Of Experience
Accepts Medicare Assignment
Name
DR. DOROTHY K GRANGE (MD)
NPI
1801812128
Phone
(314) 454-6093
Address
PO BOX 7412011
Enumeration Date
14 July 2006
Last Update Date
17 April 2025

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
3142731006
Graduation Year
1981 (45 years ago)
PAC ID
6901875376
Group Practice PAC ID
9830008770
Professional Enrollment ID
I20041001000450
Address ID
MO631101002SA1XXXXPLXX300
Telehealth
Yes

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

878 PEDIATRIC MEDICINE in MO

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Provider Addresses for DR. DOROTHY K GRANGE (MD)

  • PO BOX 7412011

    CHICAGO, IL 606742011

    Phone: (314) 454-6093

    Fax: (844) 965-9624

    Type: Mailing

  • Saint Louis Childrens Hospital School, 1, Children's Place, Central West End, City of Saint Louis, Missouri, 63110, United States

    MSC 8515-87-1200

    SAINT LOUIS, MO 631101002

    Phone: (314) 454-6093

    Fax: (314) 454-2075

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $688.

Total Amount is formed as General ($688) + Research ($0) + Ownership ($0) = $688.

Last reported payment date: 2024-06-25 • Largest payer in this snapshot: BioMarin Pharmaceutical Inc. ($424).

Total Amount

$688

General + Research + Ownership

Payments

8

Total payment records

General Amount

$688

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-06-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041001000450IMedical Genetics And GenomicsMOTBD
I20220624000983IPediatric MedicineILTBD

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.

Verify on CMS Revalidation Lookup Tool

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 60674)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830008770View full group profile

Reviews

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Frequently asked questions

How do I look up DR. DOROTHY K GRANGE (MD) by NPI?
Use NPI 1801812128 when you need to reference DR. DOROTHY K GRANGE (MD) in forms, claims, or directories.
Is DR. DOROTHY K GRANGE (MD)'s NPI currently valid?
The extract we use shows DR. DOROTHY K GRANGE (MD) as active.
Can you summarize DR. DOROTHY K GRANGE (MD)'s specialty in plain language?
Clinically, the directory lists DR. DOROTHY K GRANGE (MD) with Clinical Genetics (M.D.) Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. DOROTHY K GRANGE (MD)?
The page summarizes Chicago, Illinois for DR. DOROTHY K GRANGE (MD); expand the address list for detail.
How can I contact DR. DOROTHY K GRANGE (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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