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ELIZABETH MICHELLE GROGAN
NPI 1124589874
Pediatrics - Pediatric Critical Care Medicine in Saint Louis, MO

Active since March 26, 2019PECOS Enrolled
1465 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 617-2000 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 9, 2022, Aug 19, 2019 (2 updates tracked since 2019).

About Elizabeth Michelle Grogan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH MICHELLE GROGAN (NPI 1124589874) is an individual pediatric critical care medicine provider in Saint Louis, Missouri, licensed in Missouri (2026024723) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, maintains 15 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1124589874
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameELIZABETH MICHELLE GROGAN
Location Address1465 S GRAND BLVDSaint Louis, MO 63104-1003
Mailing Address700 Childrens DrColumbus, OH 43205-2664 · (614) 722-6200
Phone(314) 617-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 26, 2019
Last NPPES UpdateJune 26, 20262 updates tracked since enumeration
NPPES CertifiedJune 26, 2026
✔ NPI 1124589874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in MO · 2026024723
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X · License 35.144435 (OH)
1465 S GRAND BLVD, Saint Louis, MO 63104
Open in Google Maps ↗

Secondary Practice Locations 15

Location 13553 Cleveland AveColumbus, OH 43224 · Phone (614) 722-6200
Location 21777 E Dublin Granville RdColumbus, OH 43229-3502 · Phone (614) 722-6200
Location 31405 S High StColumbus, OH 43207-1043 · Phone (614) 722-6200
Location 4433 N Cleveland AveWesterville, OH 43082-8095 · Phone (614) 722-6200
Location 5579 S Yearling RdColumbus, OH 43213-2874 · Phone (614) 722-6200
Location 62599 S Hamilton RdColumbus, OH 43232-4964 · Phone (614) 722-6200
Location 72857 W Broad StColumbus, OH 43204-2643 · Phone (614) 722-6200
Location 84766 W Broad StColumbus, OH 43228-1613 · Phone (614) 722-6200
Location 91390 Cleveland AveColumbus, OH 43211-2767 · Phone (614) 722-6200
Location 101125 E Main StColumbus, OH 43205-1931 · Phone (614) 722-6200
Location 115070 N High StColumbus, OH 43214-1526 · Phone (614) 722-6200
Location 124560 Morse Centre RdColumbus, OH 43229-6602 · Phone (614) 722-6200
Location 13380 Butterfly Gardens DrColumbus, OH 43215-7508 · Phone (614) 722-6200
Location 14700 Childrens DrColumbus, OH 43205-2664 · Phone (614) 722-6200
Location 15441 Industrial Mile RdColumbus, OH 43228-2458 · Phone (614) 722-6200

Other Identifiers 1

Medicaid0477270OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Michelle Grogan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567799844
PECOS Enrollment IDI20260623003558
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Elizabeth Grogan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ssm Health Care Group
0.2 mi
Internal Medicine
1225 SOUTH GRAND BLVD, 2L - DOOR 3,4
Saint Louis, MO 63104
  • Reassigned Medicare billing, Missouri enrollment
  • 1,294 clinicians in this Medicare group
NPI 1306589544 (314) 977-6100
Pediatric Academic Association, Inc.
400 mi
Pediatrics
700 CHILDRENS DR
Columbus, OH 43205
  • Reassigned Medicare billing, Ohio enrollment
  • 1,246 clinicians in this Medicare group
NPI 1063419943 (614) 722-4579

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SARAH MARGARET HANLY PH.D.
Psychologist (Clinical)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5667
KAVIPRIYA KOMESWARAN
Pediatrics (Pediatric Critical Care Medicine)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 617-2000
ALEXIS HAAS STEWART
Anesthesiologist Assistant
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-5700
NATALIE DRURY RD, LD
Dietitian, Registered (Nutrition, Pediatric)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5387
MS. MASHAL AZIZ RANA MBBS
Student in an Organized Health Care Education/Training Program
1465 S GRAND BLVD
ST.LOUIS, MO 63104
St. Louis City (314) 577-5382
TIMOTHY J KUTZ MD
Pediatrics (Child Abuse Pediatrics)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 268-6406
CHRISTOPHER SALLEE MD
Pediatrics
1465 S GRAND BLVD
ST. LOUIS, MO 63104
St. Louis City (314) 577-1607
AMBER GRANA DO
Pediatrics (Pediatric Critical Care Medicine)
1465 S GRAND BLVD, DIVISION OF PEDIATRIC CRITICAL CARE
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5695

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Grogan's NPI number?

The NPI number for Elizabeth Grogan is 1124589874. It was assigned to this individual provider in the NPPES registry on March 26, 2019.

Where is Elizabeth Grogan located?

Elizabeth Grogan practices at 1465 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 617-2000.

What is Elizabeth Grogan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Elizabeth Grogan enrolled in Medicare?

Yes. Elizabeth Grogan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Elizabeth Grogan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Grogan reassigns Medicare benefits to 2 organizations: Ssm Health Care Group (Saint Louis, MO) and Pediatric Academic Association, Inc. (Columbus, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elizabeth Grogan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elizabeth Grogan accept?

Health plans from Anthem Blue Cross and Blue Shield list Elizabeth Grogan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elizabeth Grogan was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.