Individual provider Active NPI

Harpreet Kaur Grewal, M.D.

  • Neurology Physician
  • Port Charlotte, FL
National Provider Identifier
1194975268
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME151620 Issued in FL
Practice address
2525 Harbor Blvd Ste 305
Port Charlotte, FL 33952-5344
Phone
(941) 275-2669
NPI assigned
Sep 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 246590 NY
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X ME151620 FL Primary

Addresses

Primary practice location

2525 Harbor Blvd Ste 305
Port Charlotte, FL 33952-5344

Mailing address

PO Box 1681
Nokomis, FL 34274-1681
Phone (941) 275-2669

Other practice location 1

698 S Tamiami Trl
Osprey, FL 34229-9216
Phone (941) 432-6869

Other names 1

  • Harpreet Kaur Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160601002370 NY Practitioner - Neurology 8628368719 Reassigns benefits to 1 organization
I20221003002634 FL Practitioner - Neurology 8628368719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Jai Grewal MD PLLCGroup PAC ID 1355729914, 2 clinicians

Practice addresses (Care Compare)

2525 Harbor Blvd
Suite 305
Port Charlotte, FL 33952-5344
Phone (941) 500-4638

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME151620FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nassau Health Care Corporation Single Specialty CurrentSince Sep 15, 2018 Accepting new patients
Jai Grewal MD PLLC Single Specialty CurrentSince Jun 21, 2023 Accepting new patients
Nassau Health Care Corporation Single Specialty CurrentSince Sep 15, 2018 Accepting new patients
Nassau Health Care Corporation Single Specialty Current Accepting new patients

Locations

698 S Tamiami Trl
Osprey, FL 34229
Phone (941) 275-2669

2525 Harbor Blvd
Ste 305
Pt Charlotte, FL 33952
Phone (941) 275-2669

2201 Hempstead Tpke
Rm 2448
East Meadow, NY 11554
Phone (516) 572-1234

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

2201 Hempstead Tpke
Fl 19
East Meadow, NY 11554
Phone (516) 486-6862

875 Jerusalem Ave
Uniondale, NY 11553
Phone (516) 572-1400

975 Jerusalem Ave
Uniondale, NY 11553
Phone (516) 918-1301

Interoperability endpoints

  • Direct secure messaging: harpreet.grewal@4035.securemail.prognocis.com

Organizations & group practices 4

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 2

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": "1222300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1194975268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1681",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "342741681",
            "telephone_number": "941-275-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 HARBOR BLVD STE 305",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525344",
            "telephone_number": "941-275-2669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "698 S Tamiami Trl",
            "address_purpose": "LOCATION",
            "city": "Osprey",
            "state": "FL",
            "postal_code": "342299216",
            "country_code": "US",
            "telephone_number": "941-432-6869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREWAL",
        "first_name": "HARPREET",
        "middle_name": "KAUR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-25",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "246590",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME151620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HARPREET",
            "last_name": "KAUR",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.