Active NPI
James Michael Grueskin, MD
- Emergency Medicine Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- M4124
- Practice address
- 14203 Hansons Creek CT
Houston, TX 77044-4966 - Phone
- (281) 225-7030
- NPI assigned
- Nov 4, 2005
- Last updated
- Nov 25, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036-110306 | IL | |
| Emergency Medicine Physician | 207P00000X | A55342 | CA | |
| Emergency Medicine Physician | 207P00000X | M4124 | TX | Primary |
Addresses
Primary practice location
14203 Hansons Creek CT
Houston, TX 77044-4966
Mailing address
14203 Hansons Creek CT
Houston, TX 77044-4966
Phone (281) 225-7030
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 187651803 | Medicaid | TX | |
| 8AK763 | Other | TX | BCBSTX |
| 1225029424 | Other | TX | BCBSTX |
| 1225029424 | Other | TX | TRICARE SOUTH |
| 187651802 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.86 of 100
- Quality
- 92.78
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A55342 | CA | MD | Emergency Medicine Physician |
| 036-110306 | IL | MD | Emergency Medicine Physician |
| M4124 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grueskin Pharmacy LLC | Current | Accepting new patients | |
| Third Coast Emergency Physicians Southwest PA | Emergency Medicine | Current | Accepting new patients |
| Humble Emergency Physicains Professional Association | Emergency Medicine | Past | Accepting new patients |
| Greater Houston Emergency Physicians PLLC | Emergency Medicine | Past | Accepting new patients |
Locations
100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100
16088 San Pedro Ave
San Antonio, TX 78232
Phone (210) 402-4092
4103 N Loop 1604 W
San Antonio, TX 78249
Phone (210) 572-8415
7719 S Ih 35
San Antonio, TX 78224
Phone (210) 572-2955
Organizations & group practices 5
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.
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- NPI 1386587350
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- Emergency Medicine Physician
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- NPI 1316363336
-
- Emergency Medicine Physician
- Humble, TX
- NPI 1013930973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448409600000",
"number": "1225029424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14203 HANSONS CREEK CT",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770444966",
"telephone_number": "281-225-7030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14203 HANSONS CREEK CT",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770444966",
"telephone_number": "281-225-7030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUESKIN",
"first_name": "JAMES",
"middle_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-04",
"last_updated": "2015-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036-110306",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A55342",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "M4124",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "187651803",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX",
"identifier": "8AK763",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX",
"identifier": "1225029424",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE SOUTH",
"identifier": "1225029424",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "187651802",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.