Individual provider Active NPI

Timothy L Grant, MD

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Miami, FL
National Provider Identifier
1164486692
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
License
ME30640 Issued in FL
Practice address
3911 SW 67TH Ave
Miami, FL 33155-3710
Phone
(305) 665-5552
Fax
(305) 203-0617
NPI assigned
Apr 13, 2006
Last updated
Aug 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME30640 FL
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X ME30640 FL Primary

Addresses

Primary practice location

3911 SW 67TH Ave
Miami, FL 33155-3710

Mailing address

PO Box 160010
Hialeah, FL 33016-0001
Phone (786) 924-1311

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address timothy.grant@fcn.eclinicaldirectplus.com

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
I20031215000823 FL Practitioner - Sleep MedicinePractitioner - Neurology 5294632659 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sleep MedicineAlso: Neurology
Education
University of Miami, LM Miller School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neuroscience Consultants LLPGroup PAC ID 8729040670, 109 clinicians

Practice addresses (Care Compare)

7812 SW 88TH Ter
Miami, FL 33156-7562
Phone (305) 665-5552

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME30640FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PVL Associates Inc CurrentSince Dec 1, 2006 Accepting new patients
Baptist Sleep Centers of South Florida LLC CurrentSince May 10, 2011 Accepting new patients
Neuroscience Consultants LLP Neurology CurrentSince Aug 1, 2004 Accepting new patients
Baptist Sleep Center at Galloway PastSince Mar 17, 2011 Accepting new patients

Locations

7261 Sheridan St
Ste 210B
Hollywood, FL 33024
Phone (954) 239-4091

9960 NW 116th Way
Ste 13
Medley, FL 33178

3911 SW 67th Ave
Miami, FL 33155
Phone (305) 670-7650

7400 SW 87th Ave
Ste 220A
Miami, FL 33173
Phone (786) 467-5241

8720 N Kendall Dr
Ste 212
Miami, FL 33176
Phone (305) 670-4343

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

8940 SW 88th St
Ste 802E
Miami, FL 33176
Phone (305) 595-4041

9299 SW 152nd St
Ste 100
Palmetto Bay, FL 33157
Phone (305) 254-3770

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 1

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1164486692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160010",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330160001",
            "telephone_number": "786-924-1311",
            "fax_number": "786-924-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 SW 67TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553710",
            "telephone_number": "305-665-5552",
            "fax_number": "305-203-0617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "TIMOTHY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME30640",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "FL",
            "license": "ME30640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "timothy.grant@fcn.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "9299 SW 152nd St Ste 100",
            "city": "Palmetto Bay",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.