NPIMap

Individual provider Active NPI

Michael Grimes, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Canonsburg, PA
National Provider Identifier
1053549964
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD450700 Issued in PA
Practice address
1900 Waterdam Plaza Dr Ste 2
Canonsburg, PA 15317-5442
Phone
(724) 941-7490
Fax
(724) 941-5231
NPI assigned
Jun 30, 2009
Last updated
Oct 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD450700 PA Primary

Addresses

Primary practice location

1900 Waterdam Plaza Dr Ste 2
Canonsburg, PA 15317-5442

Mailing address

1900 Waterdam Plaza Dr Ste 2
Canonsburg, PA 15317-5442
Phone (724) 941-7490

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mgrimes21097@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20140728001276 PA Practitioner - Endocrinology 4789800731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
West Virginia University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

1900 Waterdam Plaza Dr
FL 2
Canonsburg, PA 15317-5442
Phone (724) 941-7490

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD450700PAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Aug 1, 2014 Accepting new patients
Allegheny Clinic Endocrinology, Diabetes & Metabolism CurrentSince Aug 1, 2014 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

1900 Waterdam Plaza Dr
Ste 2
McMurray, PA 15317
Phone (724) 260-7531

1900 Waterdam Plaza Dr
Ste 3
McMurray, PA 15317
Phone (412) 559-8003

Interoperability endpoints

  • Direct secure messaging: mgrimes21097@direct.ahn.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1053549964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 WATERDAM PLAZA DR STE 2",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153175442",
            "telephone_number": "724-941-7490",
            "fax_number": "724-941-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 WATERDAM PLAZA DR STE 2",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153175442",
            "telephone_number": "724-941-7490",
            "fax_number": "724-941-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-30",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MD450700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgrimes21097@direct.ahn.org",
            "affiliation": "N",
            "address_1": "1900 Waterdam Plaza Dr Ste 2",
            "city": "Canonsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "153175442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Canonsburg, PA

Sources for this page

Verify at the official NPI Registry.