Samuel Reed Grady, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1287 Issued in NH

Practice address

100 McGregor St
Manchester, NH 03102-3730

Phone

(603) 668-3545

NPI assigned

Jun 22, 2016

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

Medicare fee-for-service enrollment

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Intensive Care Consortium IncGroup PAC ID 0244269413, 485 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Portsmouth Regional Hospital Hospital, Portsmouth, NH, CCN 300029
• Frisbie Memorial Hospital Hospital, Rochester, NH, CCN 300014

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Intensive Care Consortium Inc

  • Specialist
  • Aventura, FL
  • NPI 1629019062

  NH

  Medicare reassignment Care Compare group
• Emergency Medicine Physicians of Rockingham County, LLC

  • Emergency Medicine Physician
  • Exeter, NH
  • NPI 1174956668
  Medicare reassignment
• Neonatal and Pediatric Intensivist Services of New Hampshire, LLC

  • Pediatrics Physician
  • Manchester, NH
  • NPI 1710773510
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• FMH Health Services, LLC

  dba Frisbie Memorial Hospital

  • General Acute Care Hospital
  • Rochester, NH
  • NPI 1689215030
  Care Compare affiliation
• HCA Health Services of New Hampshire Inc

  dba Portsmouth Regional Hospital

  • General Acute Care Hospital
  • Portsmouth, NH
  • NPI 1518913607
  Care Compare affiliation

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1205287174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MCGREGOR STREET",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "03102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MCGREGOR ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031023730",
            "telephone_number": "603-668-3545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43 New Scotland Ave",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122083412",
            "country_code": "US",
            "telephone_number": "518-262-3125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRADY",
        "first_name": "SAMUEL",
        "middle_name": "REED",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "019735",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NH",
            "license": "1287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Gover
• Paul Gregory Gowern, R.PH.
• Barbara Goyette, RN
• Aleksandra Vashchenko Grabb, MD
• Beth A Grady, LCSW
• Sheena Gradzewicz, LICSW
• Ellen Ann Graening, ARNP
• Jessica Graff, BS
• William Graff, M.D.
• Kelly Jean Graham

• Medical Physician Assistant in Manchester, NH
• Providers in Manchester, NH by specialty
• Medical Physician Assistant in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.