Jedidiah Grisel, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

57011497 Issued in OH

Practice address

1 Burnside
Wichita Falls, TX 76310-1123

Phone

(940) 322-6953

Fax

(940) 264-8536

NPI assigned

May 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Otolaryngology

Education

Texas a & M University System, HSC, College of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Head and Neck Surgical AssociatesGroup PAC ID 8022089622, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• United Regional Health Care System Hospital, Wichita Falls, TX, CCN 450010

Merit-based Incentive Payment System (MIPS)

Final score

82.47 of 100Reported as individual

Quality

70.85

Promoting interoperability

95

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jgrisel13870@unitedregional.medalliesdirect.net
• Direct secure messaging: drgrisel@directaddress.net
• FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
• FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

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.

• Head & Neck Surgical Associates

  • Otolaryngology Physician
  • Wichita Falls, TX
  • NPI 1053304030
  Medicare reassignment Care Compare group NPD
• United Regional Health Care System Inc

  • General Acute Care Hospital
  • Wichita Falls, TX
  • NPI 1023013448
  NPD
• Optio, PLLC

  • Audiologist
  • Southlake, TX
  • NPI 1154888196
  NPD (past)
• Wichita Falls Specialty ASC LLC

  • Ambulatory Surgical Clinic/Center
  • Wichita Falls, TX
  • NPI 1871169136
  NPD (past)
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)

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

• United Regional Health Care System Inc

  • General Acute Care Hospital
  • Wichita Falls, TX
  • NPI 1023013448
  Care Compare affiliation

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423440000000",
    "number": "1285845586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BURNSIDE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763101123",
            "telephone_number": "940-322-6953",
            "fax_number": "940-264-8536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BURNSIDE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763101123",
            "telephone_number": "940-322-6953",
            "fax_number": "940-264-8536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISEL",
        "first_name": "JEDIDIAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2015-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "57011497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shari Griffiths, LPC
• Grill Repair PA
• Gary James Grimes, DDS
• Jeffrey Scott Grimes, NP-C
• Lacey N Grimes, M.A., LPC-ASSOCIATE
• Mileasha Lyn Grogan
• Franklin Gualtier
• Jessica Gubernath, LVN
• Krystel Marie Gubernath, LVN
• Candacie Brahn Guerreiro, PTA

• Otolaryngology Physician in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Otolaryngology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; 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.