Ellen M. Grimm, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

J4170 Issued in TX

Practice address

1330 Wonder World Dr
San Marcos, TX 78666-7566

Phone

(512) 805-0680

Fax

(512) 805-0682

NPI assigned

Feb 28, 2006

Last updated

Feb 1, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Nephrology

Education

University of Texas Medical School at Houston, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Austin Diagnostic Clinic PLLCGroup PAC ID 1254244551, 87 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Nna San Marcos Dialysis facility, San Marcos, TX, CCN 452522
• Fresenius Medical Care Kyle Dialysis facility, Kyle, TX, CCN 672820
• Christus Homecare Home health agency, New Braunfels, TX, CCN 677544
• Christus Santa Rosa Hospital-San Marcos Hospital, San Marcos, TX, CCN 450272
• St David's South Austin Medical Center Hospital, Austin, TX, CCN 450713
• Ascension Seton Hays Hospital, Kyle, TX, CCN 670056

Merit-based Incentive Payment System (MIPS)

Final score

89.8 of 100Reported as individual

Quality

69.46

Promoting interoperability

100

Improvement activities

40

Cost

67.11

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: 6162-grimm-ellen@direct.leadingreach.com
• Direct secure messaging: ellen.grimm@hca8.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Austin Diagnostic Clinic, PLLC

  dba Austin Diagnostic Clinic

  • Nephrology Physician
  • Austin, TX
  • NPI 1497729685
  Medicare reassignment Care Compare group NPD
• Austin Diagnostic Clinic

  • Hospitalist Physician
  • Austin, TX
  • NPI 1972011658
  NPD
• The Austin Diagnostic Clinic, PLLC

  dba Austin Diagnostic Clinic

  • Ophthalmology Physician
  • Austin, TX
  • NPI 1568436764
  NPD
• Austin Diagnostic Clinic, PA

  • Ambulatory Surgical Clinic/Center
  • Austin, TX
  • NPI 1619923950
  NPD (past)
• The Austin Diagnostic Clinic, PLLC

  • Cardiovascular Disease Physician
  • Austin, TX
  • NPI 1104803816
  NPD (past)

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

• Bio-Medical Applications of Texas, Inc.

  dba Fresenius Medical Care Kyle

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Kyle, TX
  • NPI 1366849994

  Dialysis facility

  Care Compare affiliation Name & address match
• National Nephrology Associates of Texas, L.P.

  dba Nna San Marcos

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Marcos, TX
  • NPI 1184726507

  Dialysis facility

  Care Compare affiliation Name & address match
• Ascension Seton

  dba Ascension Seton Hays

  • General Acute Care Hospital
  • Kyle, TX
  • NPI 1619115383
  Care Compare affiliation
• Christus Santa Rosa Health Care Corporation

  dba Christus Santa Rosa Hospital - New Braunfels

  • General Acute Care Hospital
  • New Braunfels, TX
  • NPI 1114725033
  Care Compare affiliation
• Christus Santa Rosa Health Care Corporation

  dba Christus Santa Rosa Hospital - San Marcos

  • General Acute Care Hospital
  • San Marcos, TX
  • NPI 1447883301
  Care Compare affiliation
• LHCG CXV, LLC

  dba CHRISTUS HomeCare

  • Home Health Agency
  • New Braunfels, TX
  • NPI 1588187082
  Care Compare affiliation
• St. David's Healthcare Partnership, L.P., LLP

  dba St. David's South Austin Medical Center

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1679528889
  Care Compare affiliation

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1275500100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12221 N MOPAC EXPY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582401",
            "telephone_number": "512-805-0680",
            "fax_number": "512-805-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 WONDER WORLD DR",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667566",
            "telephone_number": "512-805-0680",
            "fax_number": "512-805-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMM",
        "first_name": "ELLEN",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-28",
        "last_updated": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "J4170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101802004",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101802002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "390007009",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ELLEN.GRIMM@hca8.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1330 Wonder World Dr",
            "city": "San Marcos",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786667566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Larenna Symonne Green
• Elyse Lyne Greenamyre, LMSW, LCDC
• Mia Greer
• Grifols Laboratory Solutions Inc.
• Justin Roger Grimes, CRNA
• Judith Elaine Gros, N.P.
• Curtis Ryan Grote, MD
• Celia Alexander Grubb, M.S., CCC-SLP
• Gsus Music Therapy Services & Center, LLC
• Guadalupe County Hospital Board (Hays Nursing and Rehabilitation Center)

• Nephrology Physician in San Marcos, TX
• Providers in San Marcos, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.