Individual provider Active NPI

Steven D Grijalva, MD

  • Orthopaedic Surgery Physician
  • Johnson City, TN
National Provider Identifier
1215909809
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
65127 Issued in TN
Practice address
410 N State of Franklin Rd Ste 140
Johnson City, TN 37604-6972
Phone
(423) 431-2460
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 88491 GA
Orthopaedic Surgery Physician 207X00000X 65127 TN Primary

Addresses

Primary practice location

410 N State of Franklin Rd Ste 140
Johnson City, TN 37604-6972

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 952-2111

Other practice location 1

12200 Warwick Blvd Ste 310
Newport News, VA 23601-2344
Phone (757) 534-9988

Other practice location 2

840 Pine St Ste 500
Macon, GA 31201-7530
Phone (478) 633-8682

Other practice location 3

620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone (781) 761-3067

Other names 1

  • Dr. Steven Dionisio Grijalva Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sgrijalva307298@balladhealth.medalliesdirect.net Direct Wellmont Medical Associates Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TN2 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
I20190515001001 VA Practitioner - Orthopedic Surgery 3779707146 Reassigns benefits to 1 organization
I20220915000755 TN Practitioner - Orthopedic Surgery 3779707146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmont Medical Associates IncGroup PAC ID 8123291739, 432 clinicians

Practice addresses (Care Compare)

410 N State of Franklin Rd
Suite 140B
Johnson City, TN 37604-6971
Phone (423) 431-2460

Hospital & facility affiliations

  • Johnson City Medical Center Hospital, Johnson City, TN, CCN 440063

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Physician Services Inc Current Accepting new patients
Wellmont Medical Associates Inc Orthopaedic Surgery CurrentSince Sep 1, 2022 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Sep 1, 2022 Accepting new patients
Wellmont Health System Current Accepting new patients
Riverside Physician Services Inc CurrentSince Apr 1, 2019 Accepting new patients
Riverside Physician Services, Inc. Orthopaedic Surgery CurrentSince Apr 1, 2019 Accepting new patients
Central Georiga Fertility Institute Past Accepting new patients
Blue Ridge Medical Management Corporation Past Accepting new patients

Locations

410 N State of Franklin Rd
Ste 140B
Johnson City, TN 37604
Phone (423) 431-2460

410 N State of Franklin Rd
Ste 140
Johnson City, TN 37604
Phone (423) 431-2460

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

12200 Warwick Blvd
Ste 310
Newport News, VA 23601
Phone (757) 534-9988

Interoperability endpoints

  • Direct secure messaging: sgrijalva307298@balladhealth.medalliesdirect.net

Organizations & group practices 8

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 3

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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1215909809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-952-2111",
            "fax_number": "423-282-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N STATE OF FRANKLIN RD STE 140",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046972",
            "telephone_number": "423-431-2460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12200 Warwick Blvd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236012344",
            "country_code": "US",
            "telephone_number": "757-534-9988",
            "fax_number": "757-534-5688",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "840 Pine St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312017530",
            "country_code": "US",
            "telephone_number": "478-633-8682",
            "fax_number": "478-633-8698",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620 John Paul Jones Cir",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "237082111",
            "country_code": "US",
            "telephone_number": "781-761-3067",
            "fax_number": "757-953-1848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIJALVA",
        "first_name": "STEVEN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "88491",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "65127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sgrijalva307298@balladhealth.medalliesdirect.net",
            "affiliation": "Y",
            "endpointDescription": "Ballad Health Care Everywhere",
            "affiliationName": "Wellmont Medical Associates Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "410 N State Of Franklin Rd Ste 140",
            "city": "Johnson City",
            "state": "TN",
            "country_code": "US",
            "postal_code": "376046972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "STEVEN",
            "last_name": "GRIJALVA",
            "middle_name": "DIONISIO",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.