Active NPI
Karl Edward Grunewald, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Chester, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- MD040212E
- Practice address
- 1 Medical Center Blvd
Suite 233
Chester, PA 19013-3902 - Phone
- (610) 619-8477
- Fax
- (610) 499-1970
- NPI assigned
- Jun 3, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | MD040212E | PA | Primary |
Addresses
Primary practice location
1 Medical Center Blvd
Suite 233
Chester, PA 19013-3902
Mailing address
1 Medical Center Blvd
Suite 233
Chester, PA 19013-3902
Phone (610) 619-8477
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001130350 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD040212E | PA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prospect Health Access Network, Inc. | Current | Accepting new patients | |
| Prospect Health Access Network, Inc. | Current | Accepting new patients | |
| Prospect Health Access Network, Inc. | Current | Accepting new patients | |
| Drexel University | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
| Philadelphia Health & Education Corporation | Past | Accepting new patients |
Locations
1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744
1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666
1 Medical Center Blvd
#428
Chester, PA 19013
Phone (610) 874-4044
1 Medical Center Blvd
Ste 233
Chester, PA 19013
Phone (610) 499-0400
100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Chester, PA
- NPI 1568819084
-
- Diagnostic Radiology Physician
- Chester, PA
- NPI 1154776797
-
- Pediatrics Physician
- Chester, PA
- NPI 1780031005
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Philadelphia, PA
- NPI 1154425254
-
- Gynecologic Oncology Physician
- Philadelphia, PA
- NPI 1356496038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404777600000",
"number": "1285672931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER BLVD",
"address_2": "SUITE 233",
"city": "CHESTER",
"state": "PA",
"postal_code": "190133902",
"telephone_number": "610-619-8477",
"fax_number": "610-499-1970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER BLVD",
"address_2": "SUITE 233",
"city": "CHESTER",
"state": "PA",
"postal_code": "190133902",
"telephone_number": "610-619-8477",
"fax_number": "610-499-1970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUNEWALD",
"first_name": "KARL",
"middle_name": "EDWARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-03",
"last_updated": "2014-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "PA",
"license": "MD040212E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001130350",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chester, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.