Individual provider Active NPI

Manpreet Singh Grewal, M.D.

  • Colon & Rectal Surgery Physician
  • Pompano Beach, FL
National Provider Identifier
1255513909
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
ME96458 Issued in FL
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

Updated by the provider on Dec 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
004232800MedicaidFL
14H4XOtherFLBCBS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110926000174 FL Practitioner - Colorectal Surgery (Proctology) 7719158658 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
RS Surgical Colon & Rectal Surgery CurrentSince Apr 1, 2020 Accepting new patients

Locations

1800 N Federal Hwy
Ste 101
Pompano Beach, FL 33062
Phone (305) 539-9933

Interoperability endpoints

  • Direct secure messaging: manpreet.grewal.1@21716.direct.athenahealth.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.