Individual provider Active NPI

Adam David Griesemer, MD

  • Transplant Surgery Physician
  • New York, NY
National Provider Identifier
1184883589
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Surgery PhysicianTaxonomy code 204F00000X
License
249021-1 Issued in NY
Practice address
622 W 168TH St
New York, NY 10032-3720
Phone
(212) 305-0914
Fax
(212) 305-4343
NPI assigned
Jun 2, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X 249021-1 NY Primary

Addresses

Primary practice location

622 W 168TH St
New York, NY 10032-3720

Mailing address

PO Box 27036
New York, NY 10087-7036
Phone (212) 305-9576

Other practice location 1

622 W 168th St
New York, NY 10032-3720
Phone (212) 305-0914

Other identifiers 1

IdentifierTypeStateIssuer
03406420MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20110705000458 NY Practitioner - General Surgery 6002094596 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Missouri, Columbia School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

317 E 34TH St
New York, NY 10016-4974
Phone (212) 263-6419

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
249021-1NYMDTransplant Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Feb 1, 2022 Accepting new patients
New York University CurrentSince Feb 1, 2022 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Aug 6, 2017 Accepting new patients
The Trustees of Columbia University in the City of New York Transplant Surgery CurrentSince Sep 1, 2013 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Aug 6, 2017 Accepting new patients
NYU Langone Hospitals Past Accepting new patients
Trustees of Columbia University in the City of New York Transplant Surgery Past Accepting new patients

Locations

530 1st Ave
Fl 3
New York, NY 10016
Phone (212) 263-0358

51 W 51st St
Ste 300
New York, NY 10019
Phone (212) 342-3666

530 1st Ave
Ste 10N
New York, NY 10016
Phone (212) 263-5858

403 E 34th St
Fl 2
New York, NY 10016
Phone (212) 263-8134

160 E 32nd St
Fl 2
New York, NY 10016
Phone (212) 263-0960

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

317 E 34th St
Fl 8
New York, NY 10016
Phone (212) 263-8134

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

317 E 34th St
New York, NY 10016
Phone (212) 263-9741

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: agriesemer491317@nyumc.direct-ci.com
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 7

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 7

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": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1184883589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27036",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100877036",
            "telephone_number": "212-305-9576",
            "fax_number": "212-305-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W 168TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323720",
            "telephone_number": "212-305-0914",
            "fax_number": "212-305-4343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "622 W 168th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100323720",
            "country_code": "US",
            "telephone_number": "212-305-0914",
            "fax_number": "212-305-4343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIESEMER",
        "first_name": "ADAM",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-02",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "NY",
            "license": "249021-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03406420",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.