Active NPI
Ina Grundmann, M.D.
- Family Medicine Physician
- Columbia, MD
National Provider Identifier
1093989097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D0068193
- Practice address
- Nava Health and Vitality Center
8880 McGaw Rd
Columbia, MD 21045 - Phone
- (410) 910-6156
- NPI assigned
- Apr 22, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101264272 | VA | |
| Family Medicine Physician | 207Q00000X | D0068193 | MD | Primary |
Addresses
Primary practice location
Nava Health and Vitality Center
8880 McGaw Rd
Columbia, MD 21045
Mailing address
4801 Yellowwood Ave
Baltimore, MD 21209-4622
Phone (410) 367-5622
Other practice location 1
Ruscombe Mansion Community Health Ctr
4801 Yellowwood Ave
Baltimore, MD 21209-4622
Phone (410) 367-5622
Other practice location 2
VIrginia Integrative Practice
355 Rio Rd W STE Suite 206
Charlottesville, VA 22903
Phone (888) 299-4470
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210602000032 | MD | Practitioner - Family Practice | 6406255058 | |
| I20211004001618 | DC | Practitioner - Family Practice | 6406255058 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0068193 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nava Health Medical Group, LLC | Family Medicine | Past | Accepting new patients |
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.
-
- Obstetrics & Gynecology Physician
- Columbia, MD
- NPI 1386004000
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583712000000",
"number": "1093989097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 YELLOWWOOD AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212094622",
"telephone_number": "410-367-5622",
"fax_number": "410-367-1960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NAVA HEALTH AND VITALITY CENTER",
"address_2": "8880 MCGAW RD",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "21045",
"telephone_number": "410-910-6156"
}
],
"practiceLocations": [
{
"address_1": "Ruscombe Mansion Community Health Ctr",
"address_2": "4801 Yellowwood Ave",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212094622",
"country_code": "US",
"telephone_number": "410-367-5622",
"fax_number": "410-367-1960",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "VIrginia Integrative Practice",
"address_2": "355 Rio Rd W STE Suite 206",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "22903",
"country_code": "US",
"telephone_number": "888-299-4470",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRUNDMANN",
"first_name": "INA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-22",
"last_updated": "2020-03-09",
"certification_date": "2020-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101264272",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D0068193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.