NPIMap

Individual provider Active NPI

Christian Grindberg, DO

  • Family Medicine Physician
  • Algona, IA
National Provider Identifier
1013358019
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04570 Issued in IA
Practice address
1519 S Phillips St
Algona, IA 50511-3649
Phone
(515) 295-2451
Fax
(515) 295-4505
NPI assigned
Jul 8, 2013
Last updated
Jul 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R9806 IA
Family Medicine Physician 207Q00000X 04570 IA Primary

Addresses

Primary practice location

1519 S Phillips St
Algona, IA 50511-3649

Mailing address

1519 S Phillips St
Algona, IA 50511-3649
Phone (515) 295-2451

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ChristianGrindberg@komhn.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140710002552 IA Practitioner - Family Practice 4587807342 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Kossuth Regional Health CenterGroup PAC ID 3375454259, shared by 7 NPIs, 21 clinicians

Practice addresses (Care Compare)

1519 S Phillips St
Kossuth Family Health Center
Algona, IA 50511-3649
Phone (515) 295-7714

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
04570IAMDFamily Medicine Physician
R9806IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kossuth Regional Health Center Family Medicine CurrentSince Aug 11, 2016 Accepting new patients
Kossuth Regional Health Center Family Medicine CurrentSince Aug 11, 2016 Accepting new patients
Kossuth Regional Health Center Current Accepting new patients
Kossuth Regional Health Center Family Medicine Past Accepting new patients

Locations

1519 S Phillips St
Algona, IA 50511
Phone (515) 295-2451

Interoperability endpoints

  • Direct secure messaging: christiangrindberg@komhn.cernerdirect.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/8461b39c-bf4d-446e-92d9-25827935f03f/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1013358019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 S PHILLIPS ST",
            "city": "ALGONA",
            "state": "IA",
            "postal_code": "505113649",
            "telephone_number": "515-295-2451",
            "fax_number": "515-295-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 S PHILLIPS ST",
            "city": "ALGONA",
            "state": "IA",
            "postal_code": "505113649",
            "telephone_number": "515-295-2451",
            "fax_number": "515-295-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINDBERG",
        "first_name": "CHRISTIAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "R9806",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "04570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ChristianGrindberg@komhn.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Kossuth Regional Health Center Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1519 S Phillips St",
            "city": "Algona",
            "state": "IA",
            "country_code": "US",
            "postal_code": "505113649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Algona, IA

Sources for this page

Verify at the official NPI Registry.