NPIMap

Individual provider Active NPI

Sharon Ann Grundy, M.D.

  • Family Medicine Physician
  • Telluride, CO
National Provider Identifier
1023043825
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
39510 Issued in CO
Practice address
500 West Pacific Ave
Telluride, CO 81435-1229
Phone
(970) 728-3848
Fax
(970) 728-3404
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 39510 CO Primary

Addresses

Primary practice location

500 West Pacific Ave
Telluride, CO 81435-1229

Mailing address

PO Box 1229
Telluride, CO 81435-1229
Phone (970) 728-3848

Other practice location 1

333 West Colorado Ave
Telluride, CO 81435
Phone (970) 728-4289

Other identifiers 1

IdentifierTypeStateIssuer
CO 39510OtherCOSTATE ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20070523000447 CO Practitioner - Internal MedicinePractitioner - Family Practice 8123125333 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
University of Miami, LM Miller School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Telluride Medical Center-Primary CareGroup PAC ID 3678670833, 12 clinicians

Practice addresses (Care Compare)

333 W Colorado Ave
San Miguel County Dept of Health and Enviro
Telluride, CO 81435-5096
Phone (970) 728-4289

500 W Pacific Ave
Telluride, CO 81435-5012
Phone (970) 728-3848

Hospital & facility affiliations

  • Montrose Regional Health Hospital, Montrose, CO, CCN 060006
  • Mercy Regional Medical Center Hospital, Durango, CO, CCN 060013
  • Intermountain Health St. Mary'S Regional Hospital Hospital, Grand Junction, CO, CCN 060023
  • Southwest Memorial Hospital Hospital, Cortez, CO, CCN 061327

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39510COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Miguel County Finance Office CurrentSince Jan 5, 2020 Accepting new patients
Telluride Medical Center-Primary Care CurrentSince Jan 1, 2007 Accepting new patients
Mountain Radiology, Inc Past Accepting new patients

Locations

2233 E Main St
Montrose, CO 81401
Phone (970) 249-3700

333 W Colorado Ave
Telluride, CO 81435
Phone (970) 728-4289

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BEJAAA/Endpoint/BEJAAA
  • Direct secure messaging: sharon.grundy@tmc.eclinicaldirectplus.com

Organizations & group practices 3

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 12

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1023043825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1229",
            "city": "TELLURIDE",
            "state": "CO",
            "postal_code": "814351229",
            "telephone_number": "970-728-3848",
            "fax_number": "970-728-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WEST PACIFIC AVE",
            "city": "TELLURIDE",
            "state": "CO",
            "postal_code": "814351229",
            "telephone_number": "970-728-3848",
            "fax_number": "970-728-3404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 West Colorado Ave",
            "address_purpose": "LOCATION",
            "city": "Telluride",
            "state": "CO",
            "postal_code": "81435",
            "country_code": "US",
            "telephone_number": "970-728-4289",
            "fax_number": "970-728-9276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUNDY",
        "first_name": "SHARON",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "39510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID",
            "identifier": "CO 39510",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Telluride, CO

Sources for this page

Verify at the official NPI Registry.