Individual provider Active NPI

Michael R. Grossman, DPM

  • Podiatrist
  • Bala Cynwyd, PA
National Provider Identifier
1225011786
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC003470R Issued in PA
Practice address
2 Bala PLZ Ste PL33
Bala Cynwyd, PA 19004-1501
Phone
(610) 645-6314
Fax
(610) 645-9923
NPI assigned
Nov 29, 2005
Last updated
Feb 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC003470R PA Primary

Addresses

Primary practice location

2 Bala PLZ Ste PL33
Bala Cynwyd, PA 19004-1501

Mailing address

2 Bala PLZ Ste PL33
Bala Cynwyd, PA 19004-1501
Phone (610) 645-6314

Other practice location 1

2 Bala Plz Ste Pl33
Bala Cynwyd, PA 19004-1505
Phone (610) 645-6314

Other identifiers 1

IdentifierTypeStateIssuer
1013601290MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100224000691 PA Practitioner - Podiatry 6103861844 Reassigns benefits to 1 organization
Receives reassigned benefits from 3 practitioners
Practice locations: Bala Cynwyd, PA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael R. Grossman, DPMGroup PAC ID 2668452285, 4 clinicians

Practice addresses (Care Compare)

2 Bala PLZ
Bala Cynwyd, PA 19004-1501
Phone (610) 645-6314

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.84 of 100Reported as group
Quality
83.33
Improvement activities
40
Cost
77.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue143
Removal of skin lesions159
Removal of nail tissue2893
Removal or shaving of skin growth833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michael R. Grossman, DPM Podiatrist CurrentSince Jul 1, 1993 Accepting new patients

Locations

121 Coulter Ave
Ste 109
Ardmore, PA 19003
Phone (610) 645-6314

333 E City Ave
Ste PL33
Bala Cynwyd, PA 19004
Phone (610) 645-6314

100 E Lancaster Ave
Ste 253
Wynnewood, PA 19096
Phone (484) 427-8100

Interoperability endpoints

  • Direct secure messaging: michael.grossman@mlfac.eclinicaldirectplus.com

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1225011786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BALA PLZ STE PL33",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041501",
            "telephone_number": "610-645-6314",
            "fax_number": "610-645-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BALA PLZ STE PL33",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041501",
            "telephone_number": "610-645-6314",
            "fax_number": "610-645-9923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Bala Plz Ste Pl33",
            "address_purpose": "LOCATION",
            "city": "Bala Cynwyd",
            "state": "PA",
            "postal_code": "190041505",
            "country_code": "US",
            "telephone_number": "610-645-6314",
            "fax_number": "610-645-9923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "MICHAEL",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC003470R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013601290",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

Verify at the official NPI Registry.