Individual provider Active NPI

Preeya Patel Grewal, MD

  • Neurology Physician
  • Elkhart, IN
National Provider Identifier
1245357375
Registry record updated Feb 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
01065917A Issued in IN
Practice address
145 S Nappanee St
Elkhart, IN 46514-1967
Phone
(574) 304-1519
Fax
(574) 333-2979
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 01065917A IN Primary

Addresses

Primary practice location

145 S Nappanee St
Elkhart, IN 46514-1967

Mailing address

145 S Nappanee St
Elkhart, IN 46514-1967
Phone (574) 304-1519

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20131008001888 IN Practitioner - NeurologyPractitioner - Psychiatry 2163656067 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01065917AINMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Spine and Pain, P.C. CurrentSince Sep 1, 2015 Accepting new patients

Locations

700 E Beardsley Ave
Ste 4B
Elkhart, IN 46514
Phone (574) 304-1519

145 S Nappanee St
Elkhart, IN 46514
Phone (574) 304-1519

1904 Lake Ave
Plymouth, IN 46563
Phone (574) 214-7504

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4062/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361145600000",
    "number": "1245357375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 S NAPPANEE ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465141967",
            "telephone_number": "574-304-1519",
            "fax_number": "574-333-2979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 S NAPPANEE ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465141967",
            "telephone_number": "574-304-1519",
            "fax_number": "574-333-2979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREWAL",
        "first_name": "PREEYA",
        "middle_name": "PATEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2013-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01065917A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

Verify at the official NPI Registry.