Individual provider Active NPI

Elvis L Grandic, MD

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Boynton Beach, FL
National Provider Identifier
1144438219
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
ME102652 Issued in FL
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

Updated by the provider on Aug 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000188900MedicaidFL

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
I20081119000845 FL Practitioner - Orthopedic Surgery 5193818516 Reassigns benefits to 1 organization

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 IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement146
Knee replacement113

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME102652FLMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Surgery Associates PA CurrentSince Dec 19, 2011 Accepting new patients
Orthopaedic Surgery Associates, PA CurrentSince Dec 19, 2011 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.

Hospital & facility affiliations 8

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": "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

Verify at the official NPI Registry.