Individual provider Active NPI

Japjot Singh Grewal, M.D.

  • Family Medicine Physician
  • Burlington, WA
National Provider Identifier
1043744683
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD61486308 Issued in WA
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

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240710003620 WA Practitioner - Family Practice 4981979671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peacehealth Medical Group - Sedro WoolleyGroup PAC ID 1456584036, 55 clinicians

Practice addresses (Care Compare)

835 E Fairhaven Ave
Burlington, WA 98233-1916
Phone (360) 755-0641

Hospital & facility affiliations

  • Eden Home Health Home health agency, Bellingham, WA, CCN 507105
  • Peacehealth United General Medical Center Hospital, Sedro Woolley, WA, CCN 501329

Merit-based Incentive Payment System (MIPS)

Final score
88.96 of 100Reported as group
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

LicenseStateTypeSpecialty
MD61486308WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Medical Group - Sedro Woolley Family Medicine CurrentSince Aug 19, 2024 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

  • Direct secure messaging: japjot.grewal@hca1.eclinicaldirectplus.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.