Individual provider Active NPI

Kanwarpaul S Grewal, D. O.

  • Orthopaedic Surgery of the Spine Physician
  • East Meadow, NY
National Provider Identifier
1144497033
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
256297 Issued in NY
Practice address
30 Merrick Ave Ste 103
East Meadow, NY 11554-1580
Phone
(516) 743-9450
Fax
(516) 743-9451
NPI assigned
May 11, 2008
Last updated
Dec 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 256297 NY
Orthopaedic Surgery of the Spine Physician 207XS0117X 256297 NY Primary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 256297 NY
Orthopaedic Trauma Physician 207XX0801X 256297 NY

Addresses

Primary practice location

30 Merrick Ave Ste 103
East Meadow, NY 11554-1580

Mailing address

30 Merrick Ave Ste 103
East Meadow, NY 11554-1580
Phone (516) 743-9450

Other practice location 1

150 Sunrise Hwy # Ll-22
Lindenhurst, NY 11757-2598
Phone (516) 743-9450

Other practice location 2

8812 Queens Blvd Ste 6
Elmhurst, NY 11373-4420
Phone (516) 743-9450

Other practice location 3

1512 Broadway
Hewlett, NY 11557-1429
Phone (516) 374-6838

Other identifiers 1

IdentifierTypeStateIssuer
03918421MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20140805002481 NY Practitioner - Orthopedic Surgery 4981845278 Reassigns benefits to 1 organization
Practice locations: East Meadow, NY

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
New York College of Osteo Medicine of New York Institute of Technology, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kanwarpaul S Grewal Medical PLLCGroup PAC ID 6800124512, 6 clinicians

Practice addresses (Care Compare)

30 Merrick Ave
Suite 103
East Meadow, NY 11554-1580
Phone (516) 743-9450

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.21 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
70.69

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion62
Laminectomy or laminotomy (partial removal of spine bones)22
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
256297NYMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
24 7 Ny Medical Health Provider PC CurrentSince Oct 27, 2024 Accepting new patients
Kanwarpaul S. Grewal Medical PLLC Orthopaedic Surgery CurrentSince Aug 1, 2018 Accepting new patients
Plainview Hospital Past Accepting new patients

Locations

30 Merrick Ave
Ste 103
East Meadow, NY 11554
Phone (516) 743-9450

8812 Queens Blvd
Ste 6
Elmhurst, NY 11373
Phone (347) 399-4369

150 Sunrise Hwy
Ste LL22
Lindenhurst, NY 11757
Phone (516) 743-9450

514 Old Country Rd
Westbury, NY 11590

Interoperability endpoints

  • Direct secure messaging: grewalorthopedics.kanwarpaulgrewal@139669.advancedmd-direct.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1210464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1144497033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MERRICK AVE STE 103",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541580",
            "telephone_number": "516-743-9450",
            "fax_number": "516-743-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MERRICK AVE STE 103",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541580",
            "telephone_number": "516-743-9450",
            "fax_number": "516-743-9451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Sunrise Hwy # Ll-22",
            "address_purpose": "LOCATION",
            "city": "Lindenhurst",
            "state": "NY",
            "postal_code": "117572598",
            "country_code": "US",
            "telephone_number": "516-743-9450",
            "fax_number": "516-743-9451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8812 Queens Blvd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "NY",
            "postal_code": "113734420",
            "country_code": "US",
            "telephone_number": "516-743-9450",
            "fax_number": "516-743-9451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1512 Broadway",
            "address_purpose": "LOCATION",
            "city": "Hewlett",
            "state": "NY",
            "postal_code": "115571429",
            "country_code": "US",
            "telephone_number": "516-374-6838",
            "fax_number": "516-374-2362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREWAL",
        "first_name": "KANWARPAUL",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "D. O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-11",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "256297",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NY",
            "license": "256297",
            "primary": true
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "NY",
            "license": "256297",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "NY",
            "license": "256297",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03918421",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

Verify at the official NPI Registry.