Individual provider Active NPI

James Michael Grueskin, MD

  • Emergency Medicine Physician
  • Houston, TX
National Provider Identifier
1225029424
Registry record updated Nov 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
M4124 Issued in TX
Practice address
14203 Hansons Creek CT
Houston, TX 77044-4966
Phone
(281) 225-7030
NPI assigned
Nov 4, 2005
Last updated
Nov 25, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
187651803MedicaidTX
8AK763OtherTXBCBSTX
1225029424OtherTXBCBSTX
1225029424OtherTXTRICARE SOUTH
187651802MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070305000682 TX Practitioner - Emergency Medicine 4587641667 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.86 of 100Reported as group
Quality
92.78
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A55342CAMDEmergency Medicine Physician
036-110306ILMDEmergency Medicine Physician
M4124TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grueskin Pharmacy LLC Current Accepting new patients
Third Coast Emergency Physicians Southwest PA Emergency Medicine CurrentSince Dec 1, 2019 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.

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

Verify at the official NPI Registry.