Active NPI
John Patrick Grundy III, M.D.
- Ophthalmology Physician
- Laurel, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- D0052388
- Practice address
- 615 Main St
Laurel, MD 20707-4065 - Phone
- (301) 725-3010
- Fax
- (301) 725-3271
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | D0052388 | MD | Primary |
Addresses
Primary practice location
615 Main St
Laurel, MD 20707-4065
Mailing address
615 Main St
Laurel, MD 20707-4065
Phone (301) 725-3010
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 91930002 | Other | DC | CAREFIRST DC |
| 407806300 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- State University of New York at Stony Brook, School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6011 University Blvd
Suite 190
Ellicott City, MD 21043-6104
Phone (301) 725-3010
615 Main St
Laurel, MD 20707-4065
Phone (301) 725-3010
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.37 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 27.9
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 307 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Care and Surgical Center of Laurel PC | Current | Accepting new patients | |
| Essential View Optical | Past | Accepting new patients |
Locations
6011 University Blvd
Ste 190
Ellicott City, MD 21043
Phone (301) 604-2010
615 Main St
Laurel, MD 20707
Phone (301) 498-2003
300 Thomas Dr
Laurel, MD 20707
Phone (301) 725-3010
Organizations & group practices 2
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.
-
- Eyewear Supplier
- Laurel, MD
- NPI 1366671414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427155200000",
"number": "1194775932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 MAIN ST",
"city": "LAUREL",
"state": "MD",
"postal_code": "207074065",
"telephone_number": "301-725-3010",
"fax_number": "301-725-3271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 MAIN ST",
"city": "LAUREL",
"state": "MD",
"postal_code": "207074065",
"telephone_number": "301-725-3010",
"fax_number": "301-725-3271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUNDY",
"first_name": "JOHN",
"middle_name": "PATRICK",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2015-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MD",
"license": "D0052388",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST DC",
"identifier": "91930002",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "407806300",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laurel, MD
- Michelle Alexandria Grigsby, MA, CPRP, LCPC
- Victoria Harmony Grinstead, O.D.
- Grow Acupuncture and Chinese Medicine
- Grow Joy LLC
- Growing in Your Purpose, LLC
- GS Consulting Solutions LLC Dba Home Central
- Guardian Angel Nursing Services, Inc.
- Elsie Guerrero
- Ilse Yadira Guerrero, LMSW
- Salvador Rodrigo Guerrero, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.