Active NPI
Elvis L Grandic, MD
- Adult Reconstructive Orthopaedic Surgery Physician
- Boynton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Reconstructive Orthopaedic Surgery Physician
- License
- ME102652
- Practice address
- 2828 S Seacrest Blvd
Suite 216
Boynton Beach, FL 33435-7944 - Phone
- (561) 395-2117
- Fax
- (561) 395-4551
- NPI assigned
- May 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | ME102652 | FL | Primary |
Addresses
Primary practice location
2828 S Seacrest Blvd
Suite 216
Boynton Beach, FL 33435-7944
Mailing address
2828 S Seacrest Blvd
Suite 216
Boynton Beach, FL 33435-7944
Phone (561) 395-2117
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000188900 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cora Health Services Inc
Practice addresses (Care Compare)
13550 S Jog Rd
Delray Beach, FL 33446-3808
Phone (561) 496-5144
1601 Clint Moore Rd
Suite 125
Boca Raton, FL 33487-5714
Phone (561) 395-5733
2623 S Seacrest Blvd
Boynton Beach, FL 33435-7532
Phone (561) 620-1653
2623 S Seacrest Blvd
Suite 210
Boynton Beach, FL 33435-7944
2815 S Seacrest Blvd
Bethesda Memorial Hospital
Boynton Beach, FL 33435-7944
Phone (561) 737-7733
7015 Beracasa Way
Boca Raton, FL 33433-3453
Phone (561) 939-2033
9655 W Boynton Beach Blvd
Bethesda Hospital West
Boynton Beach, FL 33472-4421
Phone (561) 336-7000
9868 S State Rd
7 Suite 225
Boynton Beach, FL 33472-4474
Phone (561) 953-1700
Hospital & facility affiliations
- Activa Home Health
- Haven Home Health Care
- First at Home Inc
- Enhabit Home Health of Bethesda
- Pinnacle Home Care
- Bethesda Hospital East
- Delray Medical Center
- Boca Raton Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 146 |
| Knee replacement | 113 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME102652 | FL | MD | Adult Reconstructive Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Surgery Associates PA | Current | Accepting new patients | |
| Orthopaedic Surgery Associates, PA | Current | Accepting new patients | |
| Orthopedic Center of Palm Beach County, LLC | Past | Accepting new patients | |
| Orthopaedic Clinical Assoc Inc. | Past | Accepting new patients | |
| Orthopedic Center of Palm Beach County, LLC | Past | Accepting new patients |
Locations
2623 S Seacrest Blvd
Ste 210
Boynton Beach, FL 33435
Phone (561) 736-9699
2623 S Seacrest Blvd
Ste 216
Boynton Beach, FL 33435
Phone (561) 734-5080
2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277
2828 S Seacrest Blvd
Ste 216
Boynton Beach, FL 33435
Phone (561) 395-2117
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Boynton Beach, FL
- NPI 1104865088
-
- Durable Medical Equipment & Medical Supplies
- Boynton Beach, FL
- NPI 1285316414
-
dba Sports and Orthopedic Center
- Specialist
- Atlantis, FL
- NPI 1114079738
-
- Orthopaedic Surgery Physician
- Atlantis, FL
- NPI 1164963252
-
- Specialist
- Roxbury Crossing, MA
- NPI 1578528949
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boynton Beach, FL
- NPI 1417952748
-
- General Acute Care Hospital
- Boca Raton, FL
- NPI 1902826779
-
dba Enhabit Home Health of Bethesda
- Home Health Agency
- Boynton Beach, FL
- NPI 1992759864
-
dba Delray Medical Center
- General Acute Care Hospital
- Delray Beach, FL
- NPI 1326078288
-
- Home Health Agency
- West Palm Beach, FL
- NPI 1528365608
-
dba Activa Home Health
- Home Health Agency
- Boynton Beach, FL
- NPI 1780869982
-
dba Pinnacle Home Care
- Home Health Agency
- West Palm Beach, FL
- NPI 1558875575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346112000000",
"number": "1144438219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2828 S SEACREST BLVD",
"address_2": "SUITE 216",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334357944",
"telephone_number": "561-395-2117",
"fax_number": "561-395-4551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2828 S SEACREST BLVD",
"address_2": "SUITE 216",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334357944",
"telephone_number": "561-395-2117",
"fax_number": "561-395-4551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANDIC",
"first_name": "ELVIS",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-20",
"last_updated": "2012-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "FL",
"license": "ME102652",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000188900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.