NPIMap

Individual provider Active NPI

Amardeep Singh Grewal

  • Radiation Oncology Physician
  • Philadelphia, PA
National Provider Identifier
1154716611
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
257522 Issued in NC
Practice address
3400 Spruce St
Philadelphia, PA 19104-4238
Phone
(215) 662-2200
NPI assigned
Apr 1, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 257522 NC Primary

Addresses

Primary practice location

3400 Spruce St
Philadelphia, PA 19104-4238

Mailing address

3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 662-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200615000263 SC Practitioner - Radiation Oncology 0941468995 Reassigns benefits to 1 organization
I20200708000407 NC Practitioner - Radiation Oncology 0941468995 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Carolinas Radiation Therapy LLCGroup PAC ID 8325038763, 19 clinicians
Radiation Oncology Centers of the Carolinas, Inc.Group PAC ID 7810956380, 14 clinicians
Southeast Radiation Oncology Group, P.a.Group PAC ID 1254233950, 52 clinicians

Practice addresses (Care Compare)

1005 W Meeting St
Lancaster, SC 29720-2205
Phone (803) 283-6200

1400 Matthews Township Pkwy
Matthews, NC 28105-4655
Phone (704) 845-8800

200 Hawthorne LN
Charlotte, NC 28204-2515
Phone (704) 333-7376

200 Queens Rd
Charlotte, NC 28204-3264
Phone (704) 333-7376

2525 Court Dr
Gastonia, NC 28054-2140
Phone (704) 333-7376

301 Yadkin St
Albemarle, NC 28001-3441
Phone (704) 333-7376

600 Hospital Dr
Monroe, NC 28112-6000
Phone (704) 333-7376

920 Church N St
Concord, NC 28025-2927
Phone (704) 333-7376

Hospital & facility affiliations

  • Carolinas Medical Center/Behav Health Hospital, Charlotte, NC, CCN 340113
  • Carolinas Medical Center-Northeast Hospital, Concord, NC, CCN 340001
  • Atrium Health Pineville Hospital, Charlotte, NC, CCN 340098
  • Atrium Health Union Hospital, Monroe, NC, CCN 340130
  • Caromont Regional Medical Center Hospital, Gastonia, NC, CCN 340032

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
257522NCMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Carolinas Radiation Therapy LLC CurrentSince Jul 20, 2020 Accepting new patients
Piedmont Carolinas Radiation Therapy LLC CurrentSince Jul 20, 2020 Accepting new patients
Southeast Radiation Oncology Group, P.a. Radiation Oncology CurrentSince Jul 1, 2020 Accepting new patients
Radiation Oncology Centers of the Carolinas, Inc. Radiation Oncology CurrentSince Jul 1, 2020 Accepting new patients
Radiation Oncology Centers of the Carolinas, Inc. Radiation Oncology Past Accepting new patients

Locations

1021 Morehead Medical Dr
Charlotte, NC 28204
Phone (704) 355-2272

200 Queens Rd
Ste 400
Charlotte, NC 28204
Phone (704) 765-2578

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

1400 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 845-8800

170 Medical Park Rd
Ste 100
Mooresville, NC 28117
Phone (704) 235-2580

1005 W Meeting St
Lancaster, SC 29720
Phone (803) 283-6200

228 Herlong Ave S
Rock Hill, SC 29732
Phone (803) 366-5186

Interoperability endpoints

  • Direct secure messaging: amardeep.grewal@carolinas.direct.varian.com
  • Direct secure messaging: agrewal499907@carolinashealthcaresystem.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Oakland Home Care, LLCWest Bloomfield, MI, CCN 237547 Home health agency 5% Or Greater Indirect Ownership Interest (11.11%) Jan 1, 2012
Sven Medical BillingWest Bloomfield, MI, CCN 231664 Hospice 5% Or Greater Indirect Ownership Interest (11.11%) Sep 28, 2018

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 12

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": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1154716611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044238",
            "telephone_number": "215-662-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044238",
            "telephone_number": "215-662-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREWAL",
        "first_name": "AMARDEEP",
        "middle_name": "SINGH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-01",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NC",
            "license": "257522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.