Katherine Teets Grimm, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

120015 Issued in NY

Practice address

501 Main St
New York, NY 10044-0025

Phone

(212) 753-5505

Fax

(212) 753-5506

NPI assigned

Jan 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Icahn School of Medicine at Mount Sinai

  • Pediatrics Physician
  • New York, NY
  • NPI 1275802811
  Medicare reassignment NPD
• Icahn School of Medicine at Mount Sinai

  • Eyewear Supplier
  • New York, NY
  • NPI 1760227466
  NPD

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343001600000",
    "number": "1013987528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MAIN ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100440025",
            "telephone_number": "212-753-5505",
            "fax_number": "212-753-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MAIN ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100440025",
            "telephone_number": "212-753-5505",
            "fax_number": "212-753-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMM",
        "first_name": "KATHERINE",
        "middle_name": "TEETS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2012-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "120015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00225374",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kara Grimes, MD
• Molly L Grimes, PSY.D.
• Stephen John Grimes, LCSW
• Caitlin Nicole Grimm, PHARMD
• Jan Grimm, MD, PHD
• Matthew P. Grimm, M.D.
• Melissa E Grimm
• Vanessa L. Grimm, LCSW
• Sujaan Margaret Grimson, L.AC.
• Michael Grin, MD

• Pediatrics Physician in New York, NY
• Providers in New York, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.