DR. TERESA E GRANT (MD) – Internal Medicine Physician, NPI 1922091412

DR. TERESA E GRANT (MD) is a healthcare provider. based in Sandwich, Illinois. specializing in PEDIATRIC MEDICINE, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 036111643 (IL). The NPI Number for DR. TERESA E GRANT (MD) is 1922091412

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. TERESA E GRANT (MD)
NPI
1922091412
Phone
(815) 786-2722
Address
1 E COUNTYLINE RD
Enumeration Date
30 August 2005
Last Update Date
4 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
8628039054
Group Practice PAC ID
2163334699
Professional Enrollment ID
I20041020000197
Address ID
IL602011700EV2650XAVEX300
Telehealth
Yes

Contacts

Secure Messaging
tgrant14743@direct.edward.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,158 PEDIATRIC MEDICINE in IL

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Provider Addresses for DR. TERESA E GRANT (MD)

  • Countyline Road, Sandwich, DeKalb County, Illinois, 60548, United States

    SANDWICH, IL 605482178

    Phone: (815) 786-2722

    Fax: (815) 786-6840

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-08-21 • Largest payer in this snapshot: ABBVIE INC. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$18
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: 2004-10-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20041020000197IInternal 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes399203$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit224224$0
85610Blood test, clotting time13219$0
93793Anticoagulant management of patient taking warfarin10216$0
G0008Administration of influenza virus vaccine4747$0
View full utilization report →

Insurance plans in this area (ZIP 60548)

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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: 2163334699View full group profile
NameSpecialtyState
-IL
E N D O C R I N O L O G YIL
N E U R O L O G YIL
Hospitalist, Internal MedicineIL
O P H T H A L M O L O G YIL
-IL
E N D O C R I N O L O G YIL
Cardiovascular Disease (Cardiology), Interventional CardiologyIL
Clinical Social WorkerIL
Certified Nurse Midwife (Cnm)IL

Reviews

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Frequently asked questions

What federal number belongs to DR. TERESA E GRANT (MD)?
The federal identifier for DR. TERESA E GRANT (MD) is NPI 1922091412.
Does this profile mean DR. TERESA E GRANT (MD) is currently active?
Yes — DR. TERESA E GRANT (MD) appears active in the national provider directory.
What does DR. TERESA E GRANT (MD) treat or focus on?
Patients typically see DR. TERESA E GRANT (MD) under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. TERESA E GRANT (MD)?
The page summarizes Sandwich, Illinois for DR. TERESA E GRANT (MD); expand the address list for detail.
What if Sandwich, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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