Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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: August 02, 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 and maintains 15 additional practice locations.

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
Sole ProprietorNo
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

Secondary Practice Locations 15

Location 11125 E Main StColumbus, OH 43205-1931 · Phone (614) 722-6200
Location 21390 Cleveland AveColumbus, OH 43211-2767 · Phone (614) 722-6200
Location 34766 W Broad StColumbus, OH 43228-1613 · Phone (614) 722-6200
Location 42599 S Hamilton RdColumbus, OH 43232-4964 · Phone (614) 722-6200
Location 5579 S Yearling RdColumbus, OH 43213-2874 · Phone (614) 722-6200
Location 6441 Industrial Mile RdColumbus, OH 43228-2458 · Phone (614) 722-6200
Location 7433 N Cleveland AveWesterville, OH 43082-8095 · Phone (614) 722-6200
Location 81405 S High StColumbus, OH 43207-1043 · Phone (614) 722-6200
Location 91777 E Dublin Granville RdColumbus, OH 43229-3502 · Phone (614) 722-6200
Location 103553 Cleveland AveColumbus, OH 43224 · 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 152857 W Broad StColumbus, OH 43204-2643 · Phone (614) 722-6200

Other Identifiers 1

Medicaid0477270OH

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

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.

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.

Psychologist (Clinical)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Pediatrics (Pediatric Critical Care Medicine)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Anesthesiologist Assistant
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Dietitian, Registered (Nutrition, Pediatric)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Pediatrics (Child Abuse Pediatrics)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Pediatrics
1465 S GRAND BLVD
ST. LOUIS, MO 63104
Pediatrics (Pediatric Critical Care Medicine)
1465 S GRAND BLVD, DIVISION OF PEDIATRIC CRITICAL CARE
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1465 S GRAND BLVD
SAINT LOUIS, MO 63104

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.

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 43 days 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.