Individual provider Active NPI

Fred Grynberg, M.D.

  • Pulmonary Disease Physician
  • Miami, FL
National Provider Identifier
1083600803
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME53766 Issued in FL
Practice address
1190 NW 95TH St Ste 108
Miami, FL 33150-2064
Phone
(305) 547-4669
Fax
(305) 545-4934
NPI assigned
Sep 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME53766 FL Primary

Addresses

Primary practice location

1190 NW 95TH St Ste 108
Miami, FL 33150-2064

Mailing address

8600 SW 92ND St Ste 204a
Miami, FL 33156-7377
Phone (305) 436-9933

Other identifiers 1

IdentifierTypeStateIssuer
040636800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20041005001091 FL Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 0143289298 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
New York Medical College, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pulmonary Physicians of South Florida LLCGroup PAC ID 1850360397, 39 clinicians

Practice addresses (Care Compare)

1100 NW 95TH St
North Shore Medical
Miami, FL 33150-2038
Phone (305) 835-6000

5000 University Dr
Coral Gables, FL 33146-2008
Phone (305) 779-7381

8260 W Flager St
Suite 2I
Miami, FL 33144-2069
Phone (786) 715-9183

Hospital & facility affiliations

  • North Shore Medical Center Hospital, Miami, FL, CCN 100029

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Physicians of South Florida LLC Pulmonary Disease CurrentSince Sep 1, 2004 Accepting new patients
Mercy Medical Development Inc Pulmonary Disease Past Accepting new patients
Marcos Chertman MD PA PastSince Dec 23, 2007 Accepting new patients

Locations

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

1190 NW 95th St
Ste 301
Miami, FL 33150
Phone (305) 815-0693

1190 NW 95th St
Ste 108
Miami, FL 33150
Phone (305) 547-4669

1321 NW 14th St
Ste 304
Miami, FL 33125
Phone (305) 324-5481

5000 University Dr
Miami, FL 33146
Phone (305) 666-2111

15680 SW 88th St
Ste 201
Miami, FL 33196
Phone (305) 432-1911

8600 SW 92nd St
Ste 204A
Miami, FL 33156
Phone (305) 436-9933

3661 S Miami Ave
Ste 901
Miami, FL 33133
Phone (305) 856-5057

7000 SW 62nd Ave
Ste 400
South Miami, FL 33143
Phone (305) 665-0585

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: fgrynbergmd@ppsf.praxisemr.phimailbox.com

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 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": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1083600803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 SW 92ND ST STE 204A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567377",
            "telephone_number": "305-436-9933",
            "fax_number": "305-436-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 NW 95TH ST STE 108",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331502064",
            "telephone_number": "305-547-4669",
            "fax_number": "305-545-4934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRYNBERG",
        "first_name": "FRED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME53766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040636800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.