Individual provider Active NPI

Grace Imson, M.D.

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1154552180
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME113614 Issued in FL
Practice address
2504 Biscayne Blvd
Miami, FL 33137-4518
Phone
(786) 598-4560
Fax
(786) 598-4561
NPI assigned
Aug 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME113614 FL Primary

Addresses

Primary practice location

2504 Biscayne Blvd
Miami, FL 33137-4518

Mailing address

2504 Biscayne Blvd
Miami, FL 33137-4518
Phone (786) 598-4560

Other practice location 1

4300 Alton Rd.
deHirsch Meyer Tower, Suite 2070
Miami Beach, FL 33140-2800
Phone (305) 674-2793

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address gimson14008@direct.msmc.com Direct
FHIR URL https://epicfhir.msmc.com/proxysite-prd/api/FHIR/R4 Other

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
I20120822000320 FL Practitioner - Internal Medicine 3274780531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physician Practices of MSMC LLCGroup PAC ID 9436336120, 180 clinicians
Rehabclinics Pta IncGroup PAC ID 0547237497, shared by 11 NPIs, 209 clinicians

Practice addresses (Care Compare)

10990 Biscayne Blvd
Unit 19
Miami, FL 33161-7572
Phone (305) 891-8710

13645 Biscayne Blvd
North Miami Beach, FL 33181-1617
Phone (305) 949-2700

1684 NE Miami Gardens Dr
North Miami Beach, FL 33179-4900
Phone (305) 919-1970

200 Crandon Blvd
Suite 300
Key Biscayne, FL 33149-1614
Phone (305) 674-2599

2504 Biscayne Blvd
Miami, FL 33137-4518
Phone (786) 598-4560

2845 Aventura Blvd
Aventura, FL 33180-3120
Phone (305) 692-1080

4302 Alton Rd
Miami Beach, FL 33140-2818

4306 Alton Rd
2ND Floor
Miami Beach, FL 33140-2800

4310 Alton Rd
3Rd Floor
Miami Beach, FL 33140-2800
Phone (305) 535-3300

Hospital & facility affiliations

  • Home Care Plus Inc Home health agency, Doral, FL, CCN 109078
  • Mount Sinai Medical Center of Florida, Inc Hospital, Miami Beach, FL, CCN 100034
  • Univ of Miami Hospital and Clinics-Sylvester Compr Hospital, Miami, FL, CCN 100079

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME113614FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Practices of MSMC, LLC Internal Medicine CurrentSince Aug 13, 2012 Accepting new patients

Locations

2504 Biscayne Blvd
Miami, FL 33137
Phone (786) 598-4560

4300 Alton Rd
Ste 2070
Miami Beach, FL 33140
Phone (305) 674-2609

4302 Alton Rd
Ste 300
Miami Beach, FL 33140
Phone (305) 672-9989

4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776

Interoperability endpoints

  • FHIR API: https://epicfhir.msmc.com/proxysite-prd/api/FHIR/R4/

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.

Hospital & facility affiliations 3

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": "1249689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1154552180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 BISCAYNE BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331374518",
            "telephone_number": "786-598-4560",
            "fax_number": "786-598-4561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 BISCAYNE BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331374518",
            "telephone_number": "786-598-4560",
            "fax_number": "786-598-4561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 Alton Rd.",
            "address_2": "deHirsch Meyer Tower, Suite 2070",
            "address_purpose": "LOCATION",
            "city": "Miami Beach",
            "state": "FL",
            "postal_code": "331402800",
            "country_code": "US",
            "telephone_number": "305-674-2793",
            "fax_number": "305-674-2799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IMSON",
        "first_name": "GRACE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-08",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME113614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gimson14008@direct.msmc.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "2504 Biscayne Blvd",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331374518",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.msmc.com/proxysite-prd/api/FHIR/R4",
            "affiliation": "N",
            "endpointDescription": "FHIR API",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "2504 Biscayne Blvd",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331374518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.