Active NPI
Manpreet Singh Grewal, M.D.
- Colon & Rectal Surgery Physician
- Pompano Beach, FL
National Provider Identifier
1255513909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- ME96458
- Practice address
- 1800 N Federal Hwy Ste 101
Pompano Beach, FL 33062 - Phone
- (954) 807-9545
- NPI assigned
- Dec 4, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME96458 | FL | |
| Colon & Rectal Surgery Physician | 208C00000X | ME96458 | FL | Primary |
Addresses
Primary practice location
1800 N Federal Hwy Ste 101
Pompano Beach, FL 33062
Mailing address
4608 Swilcan Bridge LN S
Jacksonville, FL 32224-5620
Other practice location 1
4203 Belfort Road
Suite 215
Jacksonville, FL 32216-1416
Phone (904) 296-4141
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004232800 | Medicaid | FL | |
| 14H4X | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 Compare- Specialty
- Colorectal Surgery (Proctology)
- Education
- University of Cincinnati College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1800 N Federal Hwy
Suite 101
Pompano Beach, FL 33062-1011
Phone (305) 539-9933
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RS Surgical | Colon & Rectal Surgery | Current | Accepting new patients |
Locations
1800 N Federal Hwy
Ste 101
Pompano Beach, FL 33062
Phone (305) 539-9933
Interoperability endpoints
- manpreet.grewal.1@21716.direct.athenahealth.com
- https://api.platform.athenahealth.com/21716/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.
-
- Colon & Rectal Surgery Physician
- Pompano Beach, FL
- NPI 1821645458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607990400000",
"number": "1255513909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4608 SWILCAN BRIDGE LN S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322245620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 N FEDERAL HWY STE 101",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "33062",
"telephone_number": "954-807-9545"
}
],
"practiceLocations": [
{
"address_1": "4203 Belfort Road",
"address_2": "Suite 215",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322161416",
"country_code": "US",
"telephone_number": "904-296-4141",
"fax_number": "904-279-2095",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREWAL",
"first_name": "MANPREET",
"middle_name": "SINGH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-04",
"last_updated": "2020-12-15",
"certification_date": "2020-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME96458",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "FL",
"license": "ME96458",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004232800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "14H4X",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.