Dr. Mark Allen Grevious, M.D.
Dr. Mark Allen Grevious is a Plastic Surgery Physician provider (Plastic Surgery) practicing in Munster, IN, registered in the NPPES registry with NPI 1194727909 since 2005. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1194727909 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Mark Allen Grevious |
| Credential | M.D. |
| Sex | Male |
| Practice address | 7905 CALUMET AVE, Munster, IN, 46321 |
| Phone | 2198367506 |
| Fax | 2198367515 |
| Enumeration date | 2005-08-11 |
| Last updated in NPPES | 2025-04-25 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208200000X | Plastic Surgery Physician | Secondary | 036100551 | IL |
| 208200000X | Plastic Surgery Physician | Secondary | 01060561A | IN |
| 208600000X | Surgery Physician | Secondary | 01060561A | IN |
| 208600000X | Surgery Physician | Secondary | 036100551 | IL |
| 2086S0122X | Plastic and Reconstructive Surgery Physician | Secondary | 036100551 | IL |
| 208200000X | Plastic Surgery Physician | Primary | 72578 | MN |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036-100551-1 | Medicaid | IL | — |
Copy-ready billing details
Provider: Mark Grevious, M.D. NPI: 1194727909 Taxonomy: 208200000X (Plastic Surgery Physician) Address: 7905 CALUMET AVE, Munster, IN, 46321
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1174522148 | Maneka Kaul | Individual | Family Medicine Physician | Munster, IN |
| 1942297239 | Julie Lauridsen | Individual | Audiologist | Munster, IN |
| 1063499309 | Farah Najamuddin | Individual | Family Medicine Physician | Munster, IN |
| 1033188867 | Judith Nueros | Individual | Physical Therapist | Munster, IN |
| 1205881323 | Devendra Desai | Individual | Surgery Physician | Munster, IN |
| 1306892310 | William Hehemann | Individual | Family Medicine Physician | Munster, IN |
| 1316993959 | Mark Gordon | Individual | Dermatology Physician | Munster, IN |
| 1437105996 | Rand Diab | Individual | Ophthalmology Physician | Munster, IN |
Verify this record
Cross-check NPI 1194727909 against the authoritative CMS record: view Dr. Mark Allen Grevious on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where does Mark Grevious practice?
What is the NPI number for Mark Grevious?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-04-25.