Individual provider Active NPI

Ina Grundmann, M.D.

  • Family Medicine Physician
  • Columbia, MD
National Provider Identifier
1093989097
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0068193 Issued in MD
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

Updated by the provider on Mar 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
D0068193MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nava Health Medical Group, LLC Family Medicine PastSince Mar 16, 2020 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.

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

Verify at the official NPI Registry.