Charles Thomas Grad Sr., MD
Individual provider Active NPI Internal Medicine Physician · Scranton, PA
NPI 1093723322 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1093723322
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MD014268E (PA)
- Practice address
- 201 Smallacombe Dr
Scranton, PA 18508-2616 - Phone
- (570) 961-0171
- Fax
- (570) 207-2411
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 37
Medicare Care Compare profile
- Specialty
- Gastroenterology
- Education
- Temple University School of Medicine, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Lackawanna Medical Group PC
Practice addresses (Care Compare)
201 Smallacombe Dr
Scranton, PA 18508-2616
Phone (570) 961-0171
Hospital & facility affiliations
- Traditional Home Health Care
- Aveanna Home Health
- Geisinger-Community Medical Center
- Geisinger Wyoming Valley Medical Center
- Regional Hospital of Scranton
- Wilkes-Barre General Hospital
- Wayne Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 62 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 31 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111115000087 | PA | Practitioner - Gastroenterology |
2860452489 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD014268E | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lackawanna Medical Group PC | Internal Medicine | Current |
Accepting new patients |
Locations
201 Smallacombe Dr
Scranton, PA 18508
Phone (570) 961-0171
Interoperability endpoints
- charles.grad@directaddress.net
- drgrad@gastrohonesdale.medentdirect.com
- cgrad@lmg.medentdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD014268E | PA | |
| Internal Medicine Physician | 207R00000X | MD014268E | PA | Yes |
Addresses
Primary practice location
201 Smallacombe Dr
Scranton, PA 18508-2616
Mailing address
5 Stonybrook Rd
Clarks Summit, PA 18411-1166
Phone (570) 586-9578
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD014268E | Other | PA | MD LICENSE |
| 0006769880001 | Medicaid | PA |
Other providers in Scranton, PA
- Ruhi Goraya
- Scott Michael Gordon
- Kathleen M Goul
- Paige Annelise Gould
- Abhinav Goyal
- Patrick Grady
- Emma Reed Graham
- Robert Lorne Granberg
- Carrie Ann Grant
- Heather J Grant
All providers in Scranton, PA · Internal Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.