Individual provider Active NPI

Rabeep Kaur Grewal, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Lodi, CA
National Provider Identifier
1174886881
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A149999 Issued in CA
Practice address
975 S Fairmont Ave
Lodi, CA 95240-5179
Phone
(209) 334-3411
NPI assigned
Jun 18, 2012
Last updated
May 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X A149999 CA Primary

Addresses

Primary practice location

975 S Fairmont Ave
Lodi, CA 95240-5179

Mailing address

2223 Davie PL
Tracy, CA 95377-8592
Phone (620) 926-2620

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL AUSTIN Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20210918000121 CA Practitioner - Physical Medicine and Rehabilitation 0446486070 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

729 Pauline Court
Sonora, CA 95370
Phone (209) 588-8068

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A149999CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Physicians Network CurrentSince Apr 15, 2023 Accepting new patients
Lodi Memorial Hospital Association Inc CurrentSince Dec 25, 2021 Accepting new patients
Adventist Health Physicians Network CurrentSince Apr 15, 2023 Accepting new patients
The Metrohealth System Current Accepting new patients
Lodi Memorial Hospital Association, Inc Current Accepting new patients
Enloe Medical Center CurrentSince Sep 1, 2021 Accepting new patients
Enloe Medical Center Physical Medicine & Rehabilitation CurrentSince Sep 1, 2021 Accepting new patients

Locations

1390 E Lassen Ave
Chico, CA 95973
Phone (530) 332-6325

340 W East Ave
Chico, CA 95926
Phone (530) 332-6138

1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695

515 S Fairmont Ave
Lodi, CA 95240
Phone (209) 333-0445

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rgrewal54982@direct.metrohealth.org
  • Direct secure messaging: rgrewal60503@enloedirect.org

Organizations & group practices 8

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": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1174886881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2223 DAVIE PL",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953778592",
            "telephone_number": "620-926-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 S FAIRMONT AVE",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952405179",
            "telephone_number": "209-334-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREWAL",
        "first_name": "RABEEP",
        "middle_name": "KAUR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A149999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "AUSTIN",
            "affiliation": "N",
            "endpointDescription": "address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Carilion Clinic",
            "address_2": "101 Elm avenue",
            "city": "Roanoke",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240139408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lodi, CA

Sources for this page

Verify at the official NPI Registry.