Affinity Gastroenterology ASC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

AFFINITY GASTROENTEROLOGY ASC LLC

Doing business as

Grandview Endoscopy Center

Practice address

3686 Grandview Pkwy Ste 610
Birmingham, AL 35243-3406

Phone

(205) 971-3700

Fax

(205) 971-3701

NPI assigned

Jun 18, 2019

Last updated

Aug 21, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristy Music

Title

Ao- Director, Provider Enrollment

Phone

(615) 465-7377

Specialties & licenses 1

Addresses

Other names 1

• Grandview Endoscopy Center Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Listed as

Affinity Gastroenterology ASC LLCCCN 01C0001061

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Affinity Hospital LLC

  dba Grandview Medical Center

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1023061405

  Member Of

  NPD member

Locations

Practitioners 1

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.

• Rishi Kumar Agarwal, M.D.

  • Gastroenterology Physician
  • Birmingham, AL
  • NPI 1164625257
  NPD (past)

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1225698681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3686 GRANDVIEW PKWY STE 610",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352433406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3686 GRANDVIEW PKWY STE 610",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352433406",
            "telephone_number": "205-971-3700",
            "fax_number": "205-971-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY GASTROENTEROLOGY ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-18",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "MUSIC",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "AO- DIRECTOR, PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "615-465-7377"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grandview Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grandview Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Affinity Acquisitions Georgia LLC (Affinity Palliative Care of AL)
• Affinity Acquisitions Georgia LLC
• Affinity Acquisitions Georgia LLC (Affinity Chronic Care of AL)
• Affinity Acquisitions, LLC (Affinity Hospice)
• Affinity Cardiovascular Specialists LLC
• Affinity Healthcare Services, Inc. (Affinity Home Hospice)
• Affinity Hospital LLC (Grandview Medical Center)
• Affinity Hospital LLC (Grandview Medical Center)
• Affinity Hospital LLC (Women's Health Boutique)
• Affinity Hospital LLC (Grandview Medical Center)

• Ambulatory Surgical Clinic/Center in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Ambulatory Surgical Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.