Active NPI
Gary David Grossman, MD
- Vascular & Interventional Radiology Physician
- Poughkeepsie, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 186503
- Practice address
- 241 North Rd
Poughkeepsie, NY 12601-1154 - Phone
- (845) 471-5519
- Fax
- (845) 471-2928
- NPI assigned
- Feb 15, 2006
- Last updated
- May 9, 2012
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 186503 | NY | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 186503 | NY | Primary |
Addresses
Primary practice location
241 North Rd
Poughkeepsie, NY 12601-1154
Mailing address
85 Civic Center PLZ
104
Poughkeepsie, NY 12601-2498
Phone (845) 471-5519
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01646491 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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
- Diagnostic Radiology
- Education
- State University of New York Downstate Medical Center, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14 Raymond Ave
Poughkeepsie, NY 12603-2312
Phone (845) 471-2848
175 Memorial Hwy
New Rochelle, NY 10801-5635
Phone (914) 633-7700
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 186503 | NY | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Diagnostic Imaging PLLC | Current | Accepting new patients | |
| Capital Imaging Associates | Diagnostic Radiology | Current | Accepting new patients |
| New Rochelle Radiology Associates, P.C. | Diagnostic Radiology | Current | Accepting new patients |
| Hudson Valley Diagnostic Imaging, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Medical Diagnostic Imaging PLLC | Current | Accepting new patients | |
| Israel Schur MD PLLC | Vascular & Interventional Radiology | Current | Accepting new patients |
| Mid- Hudson Medical Group P C | Past | Accepting new patients | |
| Anesthesia Associates of St. Francis, P.C | Past | Accepting new patients |
Locations
3 Emma Ln
Clifton Park, NY 12065
Phone (518) 278-4334
60 Merritt Blvd
Ste 107
Fishkill, NY 12524
Phone (845) 896-1900
175 Memorial Hwy
New Rochelle, NY 10801
Phone (914) 235-3535
575 Hudson Valley Ave
Ste 101
New Windsor, NY 12553
Phone (845) 220-2222
14 Raymond Ave
Poughkeepsie, NY 12603
Phone (845) 471-2848
95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961
1323 Route 9
Wappingers Falls, NY 12590
Phone (914) 297-9493
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 10
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.
-
- Diagnostic Radiology Physician
- New Windsor, NY
- NPI 1407862246
-
- Radiology Clinic/Center
- Poughkeepsie, NY
- NPI 1760435291
-
- Diagnostic Radiology Physician
- New Rochelle, NY
- NPI 1376539080
-
- Diagnostic Radiology Physician
- Cohoes, NY
- NPI 1093794513
-
- Diagnostic Radiology Physician
- Poughkeepsie, NY
- NPI 1720288947
-
- Specialist
- Poughkeepsie, NY
- NPI 1326094137
-
- Vascular & Interventional Radiology Physician
- Brooklyn, NY
- NPI 1962917492
-
- Radiology Clinic/Center
- Wappingers Falls, NY
- NPI 1023435971
-
- Specialist
- Poughkeepsie, NY
- NPI 1649223488
-
- Family Medicine Physician
- Fishkill, NY
- NPI 1043358815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336521600000",
"number": "1275507154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 CIVIC CENTER PLZ",
"address_2": "104",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126012498",
"telephone_number": "845-471-5519",
"fax_number": "845-471-2928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "241 NORTH RD",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126011154",
"telephone_number": "845-471-5519",
"fax_number": "845-471-2928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSSMAN",
"first_name": "GARY",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2012-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "186503",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "NY",
"license": "186503",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01646491",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; 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.