Active NPI
Japjot Singh Grewal, M.D.
- Family Medicine Physician
- Burlington, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD61486308
- Practice address
- 835 E Fairhaven Ave
Burlington, WA 98233-1916 - Phone
- (360) 856-7960
- Fax
- (360) 788-1405
- NPI assigned
- Apr 19, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | MD61486308 | WA | Primary |
Addresses
Primary practice location
835 E Fairhaven Ave
Burlington, WA 98233-1916
Mailing address
13597 55A Ave
Surrey, BC V3X 3B5
CA
Phone (312) 752-8051
Other practice location 1
1200 Memorial Dr
Dalton, GA 30720-2529
Phone (706) 226-8996
Other practice location 2
501 Redmond Rd NW
Rome, GA 30165-1415
Phone (706) 802-3963
Other names 1
- Dr. Jay Singh Grewal
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
835 E Fairhaven Ave
Burlington, WA 98233-1916
Phone (360) 755-0641
Hospital & facility affiliations
- Eden Home Health
- Peacehealth United General Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.96 of 100
- Quality
- 87.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.49
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD61486308 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth Medical Group - Sedro Woolley | Family Medicine | Current | Accepting new patients |
Locations
835 E Fairhaven Ave
Burlington, WA 98233
Phone (360) 755-0641
1990 Hospital Dr
Ste 110
Sedro Woolley, WA 98284
Phone (360) 856-8830
1990 Hospital Dr
Ste 200
Sedro Woolley, WA 98284
Phone (360) 856-4222
Networks
- devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
- WA PPO C-SNP
Interoperability endpoints
- japjot.grewal@hca1.eclinicaldirectplus.com
- jgrewal662423@direct.peacehealth.org
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.
-
- Family Medicine Physician
- Sedro Woolley, WA
- NPI 1407283179
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Bellingham, WA
- NPI 1316031230
-
- Critical Access Hospital
- Sedro Woolley, WA
- NPI 1144664954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718841600000",
"number": "1043744683",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "13597 55A AVE",
"city": "SURREY",
"state": "BC",
"postal_code": "V3X 3B5",
"telephone_number": "312-752-8051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 E FAIRHAVEN AVE",
"city": "BURLINGTON",
"state": "WA",
"postal_code": "982331916",
"telephone_number": "360-856-7960",
"fax_number": "360-788-1405"
}
],
"practiceLocations": [
{
"address_1": "1200 Memorial Dr",
"address_purpose": "LOCATION",
"city": "Dalton",
"state": "GA",
"postal_code": "307202529",
"country_code": "US",
"telephone_number": "706-226-8996",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 Redmond Rd NW",
"address_purpose": "LOCATION",
"city": "Rome",
"state": "GA",
"postal_code": "301651415",
"country_code": "US",
"telephone_number": "706-802-3963",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREWAL",
"first_name": "JAPJOT",
"middle_name": "SINGH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-19",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD61486308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAY",
"last_name": "GREWAL",
"middle_name": "SINGH",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Burlington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.