Kathryn Grumbach, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

0101059272 Issued in VA

Practice address

2722 Merrilee Dr
Suite 230
Fairfax, VA 22031-4400

Phone

(703) 698-4483

Fax

(703) 573-0880

NPI assigned

Jul 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 8

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in DC, VA, MD3 enrollments

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 3

Specialty

Diagnostic Radiology

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ifrc LLCGroup PAC ID 2961829882, 135 clinicians

Fairfax Radiological ConsultantsGroup PAC ID 8628970324, 151 clinicians

Inova Reston MRI Center LLCGroup PAC ID 2961540042, 101 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063
• Inova Loudoun Hospital Hospital, Leesburg, VA, CCN 490043
• Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040
• Inova Fair Oaks Hospital Hospital, Fairfax, VA, CCN 490101
• Inova Mount Vernon Hospital Hospital, Alexandria, VA, CCN 490122

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kgrumbach25266@soc.inova.org

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.

• Fairfax Radiological Consultants

  • Specialist
  • Falls Church, VA
  • NPI 1114902509

  DC, Pediatric Radiology

  Medicare reassignment Care Compare group NPD
• Ifrc, LLC

  • Radiology Clinic/Center
  • Fairfax, VA
  • NPI 1508405317

  DC, MD

  Medicare reassignment Care Compare group NPD
• Inova Reston MRI Center LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Herndon, VA
  • NPI 1972838993

  DC, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Inova Health Care Services

  • Internal Medicine Physician
  • Falls Church, VA
  • NPI 1952320061

  MD

  Medicare reassignment NPD
• Inova Health Care Services

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Falls Church, VA
  • NPI 1568593440
  NPD
• Inova Reston MRI Center LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Centreville, VA
  • NPI 1417674821
  NPD
• Inova Reston MRI Center LLC

  • Radiology Clinic/Center
  • Falls Church, VA
  • NPI 1619265766
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Inova Health Care Services

  • General Acute Care Hospital
  • Alexandria, VA
  • NPI 1255684460
  Care Compare affiliation
• Inova Health Care Services

  • Psychiatric Hospital Unit
  • Leesburg, VA
  • NPI 1285786228
  Care Compare affiliation
• Inova Health Care Services

  • General Acute Care Hospital
  • Leesburg, VA
  • NPI 1376564302
  Care Compare affiliation
• Inova Health Care Services

  • Rehabilitation Hospital Unit
  • Falls Church, VA
  • NPI 1588795462
  Care Compare affiliation
• Inova Health Care Services

  • General Acute Care Hospital
  • Fairfax, VA
  • NPI 1760513980
  Care Compare affiliation
• Inova Health Care Services

  • General Acute Care Hospital
  • Falls Church, VA
  • NPI 1831220714
  Care Compare affiliation
• Inova Health Care Services

  • General Acute Care Hospital
  • Alexandria, VA
  • NPI 1922139120
  Care Compare affiliation

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1255365441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3650",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220383650",
            "telephone_number": "703-698-4483",
            "fax_number": "703-573-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 MERRILEE DR",
            "address_2": "SUITE 230",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314400",
            "telephone_number": "703-698-4483",
            "fax_number": "703-573-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUMBACH",
        "first_name": "KATHRYN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "VA",
            "license": "0101059272",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "VA",
            "license": "0101059272",
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "VA",
            "license": "0101059272",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "VA",
            "license": "0101059272",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0039899",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "VA",
            "license": "0101059272",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "VA",
            "license": "0101059272",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101059272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2270221",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010125792",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "5224259",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "0049",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7200928000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine A Groden, NP-C
• Morgan R Groover, DPT
• Celia Grove, MT-BC
• Wanda Edwards Grove, PT
• Growing Hearts Pediatrics
• Marietta F Grundlehner, MD
• Tracey Guard, LPC, CSOTP
• Guardians Home Care LLC
• Augustin Guech
• Roxana Guerra Culquicondor

• Diagnostic Radiology Physician in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Diagnostic Radiology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.

Verify at the official NPI Registry.