Scott T Grodman, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

5901001478 Issued in MI

Practice address

9300 Pardee Rd
Suite a
Taylor, MI 48180-3528

Phone

(313) 295-1620

Fax

(313) 295-1622

NPI assigned

Sep 8, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Podiatry

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Scott Grodman DPM PCGroup PAC ID 4082767322, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BDHEBA/Endpoint/BDHEBA
• FHIR API: https://fhir4.healow.com/fhir/r4/BDHEBA

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.

• Scott Grodman DPM PC

  • Podiatrist
  • Taylor, MI
  • NPI 1750564050
  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1184618811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 PARDEE RD",
            "address_2": "SUITE A",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803528",
            "telephone_number": "313-295-1620",
            "fax_number": "313-295-1622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 PARDEE RD",
            "address_2": "SUITE A",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803528",
            "telephone_number": "313-295-1620",
            "fax_number": "313-295-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRODMAN",
        "first_name": "SCOTT",
        "middle_name": "T",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901001478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC DME",
            "identifier": "0H22790",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "48-0H244260",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2948227",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "4858213180",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catona Greenwade
• Carol Greer, PA-C
• Gregory Haines MD LLC
• Chairty Griffin
• Sarah E Grim, PT, DPT
• Gregory B. Gruley, M.A., LPC
• Sydney Guerreso
• Anika S Gullapalli
• Aanika L Gupta
• Shalini Gupta, M.D.

• Podiatrist in Taylor, MI
• Providers in Taylor, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.