Active NPI
Fred Grunseid, M.D.
- Internal Medicine Physician
- Brooklyn, NY
National Provider Identifier
1023036613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 166169
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Practice addresses (Care Compare)
1687 Ralph Ave
Brooklyn, NY 11236-3319
Phone (718) 251-7191
Hospital & facility affiliations
- Revival Home Health Care
- VNS of Ny Home Care Chha
- Girling Health Care of New York
- Maimonides Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 20.12 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 67.06
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Medical Associates, P.C. | Internal Medicine | Current | 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.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1558553065
Internal Medicine, NY
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Staten Island, NY
- NPI 1841233178
-
- Home Health Agency
- Brooklyn, NY
- NPI 1568886653
-
- Home Health Agency
- New York, NY
- NPI 1528059805
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.