Individual provider Active NPI

Joshua Benjamin Grimm, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Pasco, WA
National Provider Identifier
1164719092
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO60473083 Issued in WA
Practice address
9613 Sandifur Pkwy Ste B
Pasco, WA 99301-8028
Phone
(509) 591-9454
Fax
(509) 578-1118
NPI assigned
Jun 29, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO60473083 WA Primary

Addresses

Primary practice location

9613 Sandifur Pkwy Ste B
Pasco, WA 99301-8028

Mailing address

9613 Sandifur Pkwy Ste B
Pasco, WA 99301-8028
Phone (509) 591-9454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140714002201 WA Practitioner - Podiatry 6305061094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-City Foot and Ankle Center, LLCGroup PAC ID 7810110509, 2 clinicians

Practice addresses (Care Compare)

9613 Sandifur Pkwy
Suite B
Pasco, WA 99301-8391
Phone (509) 591-9454

Hospital & facility affiliations

  • Kadlec Regional Medical Center Hospital, Richland, WA, CCN 500058
  • Trios Health Hospital, Kennewick, WA, CCN 500053

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue79
Removal of skin lesions25
Removal of nail tissue573
Removal or shaving of skin growth230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-City Foot & Ankle Center, LLC Foot & Ankle Surgery CurrentSince Aug 1, 2014 Accepting new patients

Locations

9613 Sandifur Pkwy
Ste B
Pasco, WA 99301
Phone (509) 591-9454

303 Bradley Blvd
Ste 200
Richland, WA 99352
Phone (509) 292-6270

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGDBBD
  • FHIR API: https://api.platform.athenahealth.com/9645/brand/1/csg/1/fhir/r4
  • Direct secure messaging: joshua.grimm.1@9645.direct.athenahealth.com
  • Direct secure messaging: joshua.grimm@tcfac.eclinicaldirectplus.com

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 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": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1164719092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9613 SANDIFUR PKWY STE B",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993018028",
            "telephone_number": "509-591-9454",
            "fax_number": "509-578-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9613 SANDIFUR PKWY STE B",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993018028",
            "telephone_number": "509-591-9454",
            "fax_number": "509-578-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMM",
        "first_name": "JOSHUA",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-29",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO60473083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasco, WA

Sources for this page

Verify at the official NPI Registry.