Active NPI
Michael H Grodin, D.O.
- Ophthalmology Physician
- Lutherville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- H0062012
- Practice address
- 1209 York Rd
Suite 200
Lutherville, MD 21093-6220 - Phone
- (410) 821-9490
- Fax
- (410) 821-9495
- NPI assigned
- May 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | H0062012 | MD | Primary |
| Ophthalmology Physician | 207W00000X | 0102201638 | VA | |
| Ophthalmology Physician | 207W00000X | DO034176 | DC | |
| Ophthalmology Physician | 207W00000X | 25MB08472300 | NJ |
Addresses
Primary practice location
1209 York Rd
Suite 200
Lutherville, MD 21093-6220
Mailing address
1209 York Rd
Suite 200
Lutherville, MD 21093-6220
Phone (410) 821-9490
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 405458000 | Medicaid | MD | |
| 143192VYZ | Other | MD | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1209 York Rd
Lutherville, MD 21093-6220
Phone (410) 821-9490
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.29 of 100
- Quality
- 82.7
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 86 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO034176 | DC | MD | Ophthalmology Physician |
| 0102201638 | VA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Katzen Medical Associates, PC | Ophthalmology | Current | Accepting new patients |
| Retina Institute of Virginia PLLC | Ophthalmology | Past | Accepting new patients |
| Monmouth Retina Consultants, P.a. | Ophthalmology | Past | Accepting new patients |
| Bert M. Glaser National Retina Institute, LLC | Ophthalmology | Past | Accepting new patients |
| Access Eye Centers, Inc. | Ophthalmology | Past | Accepting new patients |
Locations
3401 Box Hll Corp Center Dr
Ste 202
Abingdon, MD 21009
Phone (410) 569-0707
301 Saint Paul St
Ste 902
Baltimore, MD 21202
Phone (410) 727-8380
1209 York Rd
Ste 200
Lutherville Timonium, MD 21093
Phone (410) 821-9490
7106 Ridge Rd
Rosedale, MD 21237
Phone (410) 687-2300
1209 York Rd
Timonium, MD 21093
Phone (410) 821-9490
901 Dulaney Valley Rd
Ste 200
Towson, MD 21204
Phone (410) 337-4500
Interoperability endpoints
- michael.grodin.p1@direct.nri.nextgenshare.com
- michael.grodin.p1@direct.katzeneye.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- https://app.meldrx.com/api/fhir/mi-riv
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.
-
- Ophthalmology Physician
- Lutherville, MD
- NPI 1326052614
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- Ophthalmology Physician
- Towson, MD
- NPI 1962456780
-
- Ophthalmology Physician
- Stafford, VA
- NPI 1811215726
-
- Ophthalmology Physician
- Little Silver, NJ
- NPI 1437179942
-
- Ophthalmology Physician
- Richmond, VA
- NPI 1306808167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334102400000",
"number": "1184670366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1209 YORK RD",
"address_2": "SUITE 200",
"city": "LUTHERVILLE",
"state": "MD",
"postal_code": "210936220",
"telephone_number": "410-821-9490",
"fax_number": "410-821-9495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1209 YORK RD",
"address_2": "SUITE 200",
"city": "LUTHERVILLE",
"state": "MD",
"postal_code": "210936220",
"telephone_number": "410-821-9490",
"fax_number": "410-821-9495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRODIN",
"first_name": "MICHAEL",
"middle_name": "H",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2012-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MD",
"license": "H0062012",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "VA",
"license": "0102201638",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "DC",
"license": "DO034176",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NJ",
"license": "25MB08472300",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "405458000",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "143192VYZ",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lutherville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.