Individual provider Active NPI

Fred Grunseid, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1023036613
Registry record updated Aug 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
166169 Issued in NY
Practice address
1687 Ralph Ave
Brooklyn, NY 11236-3319
Phone
(718) 251-7191
Fax
(718) 209-1891
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 166169 NY Primary

Addresses

Primary practice location

1687 Ralph Ave
Brooklyn, NY 11236-3319

Mailing address

1687 Ralph Ave
Brooklyn, NY 11236-3319
Phone (718) 251-7191

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041130000621 NY Practitioner - Internal Medicine 2062477177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Icahn School of Medicine at Mount Sinai, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allied Medical Associates PC 2 clinicians

Practice addresses (Care Compare)

1687 Ralph Ave
Brooklyn, NY 11236-3319
Phone (718) 251-7191

Hospital & facility affiliations

  • Revival Home Health Care Home health agency, Staten Island, NY, CCN 337299
  • VNS of Ny Home Care Chha Home health agency, New York, NY, CCN 337008
  • Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243
  • Maimonides Medical Center Hospital, Brooklyn, NY, CCN 330194

Merit-based Incentive Payment System (MIPS)

Final score
20.12 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
67.06

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Medical Associates, P.C. Internal Medicine CurrentSince Jan 1, 2007 Accepting new patients

Locations

1687 Ralph Ave
Brooklyn, NY 11236
Phone (718) 251-7191

Organizations & group practices 1

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.

Hospital & facility affiliations 4

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187308800000",
    "number": "1023036613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1687 RALPH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363319",
            "telephone_number": "718-251-7191",
            "fax_number": "718-209-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1687 RALPH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363319",
            "telephone_number": "718-251-7191",
            "fax_number": "718-209-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNSEID",
        "first_name": "FRED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "166169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.