Individual provider Active NPI

Jai Grewal, M.D.

  • Neurology Physician
  • Osprey, FL
National Provider Identifier
1295927903
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
93907 Issued in FL
Practice address
698 S Tamiami TRL
Osprey, FL 34229-9216
Phone
(941) 432-6869
Fax
(360) 272-9368
NPI assigned
Aug 16, 2007
Last updated
Mar 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 245473 NY
Neurology Physician 2084N0400X 93907 FL Primary

Addresses

Primary practice location

698 S Tamiami TRL
Osprey, FL 34229-9216

Mailing address

PO Box 1681
Nokomis, FL 34274-1681
Phone (941) 432-6869

Other practice location 1

2525 Harbor Blvd Ste 305
Port Charlotte, FL 33952-5344
Phone (941) 275-2669

Other identifiers 2

IdentifierTypeStateIssuer
PENDINGOtherFLMEDICARE
PENDINGMedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20071011000494 NY Practitioner - NeurologyPractitioner - Medical Oncology 9739275405
I20150511000824 FL Practitioner - NeurologyPractitioner - Hospitalist 9739275405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nokomis Physical Therapy LLCGroup PAC ID 8628240843, 104 clinicians
Jai Grewal MD PLLCGroup PAC ID 1355729914, 2 clinicians
Empath Therapies LLCGroup PAC ID 5496144529, 108 clinicians

Practice addresses (Care Compare)

109 Laurel Rd E
Nokomis, FL 34275-5233
Phone (941) 375-8734

2525 Harbor Blvd
Suite 305
Port Charlotte, FL 33952-5344
Phone (941) 500-4638

3600 William Penn Way
Venice, FL 34293-5236
Phone (941) 483-0746

698 S Tamiami TRL
Osprey, FL 34229-9216
Phone (941) 275-2669

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy154

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
93907FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jai Grewal MD PLLC Neurology CurrentSince Apr 1, 2022 Accepting new patients
Neuro Health & Wellness Center PLLC Neurology PastSince Aug 28, 2022 Accepting new patients
NSPC Plastics Past Accepting new patients

Locations

698 S Tamiami Trl
Osprey, FL 34229
Phone (941) 275-2669

2525 Harbor Blvd
Ste 305
Pt Charlotte, FL 33952
Phone (941) 275-2669

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jai.grewal@4035.securemail.prognocis.com
  • Direct secure messaging: jai.grewal@hca5.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1295927903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1681",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "342741681",
            "telephone_number": "941-432-6869",
            "fax_number": "360-272-9368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "698 S TAMIAMI TRL",
            "city": "OSPREY",
            "state": "FL",
            "postal_code": "342299216",
            "telephone_number": "941-432-6869",
            "fax_number": "360-272-9368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 Harbor Blvd Ste 305",
            "address_purpose": "LOCATION",
            "city": "Port Charlotte",
            "state": "FL",
            "postal_code": "339525344",
            "country_code": "US",
            "telephone_number": "941-275-2669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREWAL",
        "first_name": "JAI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-16",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "245473",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "93907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "PENDING",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Osprey, FL

Sources for this page

Verify at the official NPI Registry.