Rex Daniel Grossman, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

IN01027063A Issued in IN

Practice address

1011 W 2ND St
Bloomington, IN 47403-2216

Phone

(812) 334-1213

Fax

(812) 333-5039

NPI assigned

Nov 16, 2005

Last updated

Feb 16, 2012By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/medflow_integ_health_systems

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.

• Integ Health System, P.C.

  dba The Eye Center of Southern Indiana

  • Ophthalmology Physician
  • Bloomington, IN
  • NPI 1215919105
  Medicare reassignment NPD Authorized official
• Integ Health System, P.C.

  dba Bloomington Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Bloomington, IN
  • NPI 1013999580
  NPD

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329350400000",
    "number": "1306828322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 W 2ND ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032216",
            "telephone_number": "812-334-1213",
            "fax_number": "812-333-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 W 2ND ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032216",
            "telephone_number": "812-334-1213",
            "fax_number": "812-333-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "REX",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2012-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "IN01027063A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100358360A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elin C Grimes, M.S., R.D.
• Ace Grinstead
• Joshua Gritt
• Teresa Grizzle, NP
• Jane Ann Grogg, O.D.
• Sara Ann Bayan Grossniklaus
• Linda K Grove-Paul, LCSW
• Catherine Ann Grove, PHD, LAT, ATC
• Bianca Grover
• Lexi Ann Grubb

• Ophthalmology Physician in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Ophthalmology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.