Kenneth Russell Grosslight, MD JD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

12719 Issued in SC

Practice address

3227 Sunset Blvd # F
Suite 102
West Columbia, SC 29169-3201

Phone

(803) 724-2336

Fax

(803) 724-2317

NPI assigned

May 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

AnesthesiologyAlso: Pain Management

Education

University of Florida College of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.84 of 100Reported as group

Quality

84.84

Improvement activities

40

Cost

76.36

Medicare enrollment (NPD)

Enrolled

Credentials

Juris Doctor, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Physician'S Pain and Spine Center, LLC

  • Interventional Pain Medicine Physician
  • West Coumbia, SC
  • NPI 1336475573
  Medicare reassignment NPD Authorized official
• Aiken Anesthesiology Group PA.

  • Anesthesiology Physician
  • Aiken, SC
  • NPI 1629096490
  NPD (past)
• Carolina Anesthesiology Associates PA

  • Anesthesiology Physician
  • Columbia, SC
  • NPI 1821589938
  NPD (past)
• Carolina Anesthesiology Associates PA

  • Anesthesiology Physician
  • Columbia, SC
  • NPI 1851486781
  NPD (past)
• Pain Management, LLC

  • Interventional Pain Medicine Physician
  • Mt Pleasant, SC
  • NPI 1104914076
  NPD (past)
• Apollomd Group Services, LLC

  • Anesthesiology Physician
  • Griffin, GA
  • NPI 1568616860
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437696000000",
    "number": "1194770115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3227-F SUNSET BLVD",
            "address_2": "SUITE 102",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693201",
            "telephone_number": "803-724-2336",
            "fax_number": "803-724-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3227 SUNSET BLVD # F",
            "address_2": "SUITE 102",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693201",
            "telephone_number": "803-724-2336",
            "fax_number": "803-724-2317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSLIGHT",
        "first_name": "KENNETH",
        "middle_name": "RUSSELL",
        "credential": "MD JD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2015-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101036844",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "SC",
            "license": "12719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127197",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Grimstad
• Alyssa D Grisham, PA-C
• Gloria Noel Grodzki, PT, DPT
• Meleigh Groff, DO
• Holly Lynn Grooms, MSN, APRN, ACNP-BC
• Branna Owens Grubbs, LISW-CP
• Tori B Gude, DPT
• Sindusha Reddy Gudipally, M.D
• Amanda Guffey, PHARMD
• Paul Guffey

• Interventional Pain Medicine Physician in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Interventional Pain Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; 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.