Individual provider Active NPI

Jerry Grigoropoulos, M.D.

  • Diagnostic Radiology Physician
  • Modesto, CA
National Provider Identifier
1326085671
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A73614 Issued in CA
Practice address
1524 McHenry Ave
Suite 100
Modesto, CA 95350-4500
Phone
(209) 571-6622
Fax
(209) 527-2069
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X A73614 CA
Diagnostic Radiology Physician 2085R0202X A73614 CA Primary

Addresses

Primary practice location

1524 McHenry Ave
Suite 100
Modesto, CA 95350-4500

Mailing address

101 Park Ave
Modesto, CA 95354-0556
Phone (209) 571-6622

Other identifiers 1

IdentifierTypeStateIssuer
00A736140MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20070622000263 CA Practitioner - Diagnostic Radiology 0941209860 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Albany Medical College of Union University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Modesto Radiological Medical Group IncGroup PAC ID 2062300239, 95 clinicians
Turlock Imaging Services, LLCGroup PAC ID 3678850922, 16 clinicians

Practice addresses (Care Compare)

3900 Geer Rd
Turlock, CA 95382-1147
Phone (209) 669-0600

Hospital & facility affiliations

  • Doctors Medical Center Hospital, Modesto, CA, CCN 050464
  • Emanuel Medical Center Hospital, Turlock, CA, CCN 050179
  • Mercy Medical Center Hospital, Merced, CA, CCN 050444
  • Oak Valley Hospital District Hospital, Oakdale, CA, CCN 050067
  • Adventist Health Sonora Hospital, Sonora, CA, CCN 050335

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
84.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A73614CAMDBody Imaging Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Modesto Radiological Medical Group Diagnostic Radiology CurrentSince Aug 1, 2003 Accepting new patients
Modesto Radiological Medical Group, Inc. Body Imaging CurrentSince Aug 1, 2003 Accepting new patients
Modesto Radiology Imaging, Inc. Diagnostic Radiology CurrentSince Apr 1, 2012 Accepting new patients
Turlock Imaging Services, LLC CurrentSince Apr 1, 2017 Accepting new patients

Locations

581 4th Ave
Gustine, CA 95322
Phone (209) 854-1120

520 W I St
Los Banos, CA 93635
Phone (209) 724-0316

1524 McHenry Ave
Ste 100
Modesto, CA 95350
Phone (209) 571-6622

1524 McHenry Ave
Ste 420
Modesto, CA 95350
Phone (209) 522-2877

1524 McHenry Ave
Ste 340
Modesto, CA 95350
Phone (209) 529-0612

1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235

1444 Florida Ave
Ste 101
Modesto, CA 95350
Phone (209) 522-1027

101 Park Ave
Modesto, CA 95354
Phone (209) 558-4595

1524 McHenry Ave
Ste 430
Modesto, CA 95350
Phone (301) 676-5825

1700 Coffee Rd
Modesto, CA 95355
Phone (209) 526-4500

1523 McHenry Ave Ste 100
Modesto, CA 95350

350 S Oak Ave
Oakdale, CA 95361
Phone (209) 847-3011

190 S Oak Ave
Oakdale, CA 95361
Phone (209) 848-8410

250 S Oak Ave
Ste B1
Oakdale, CA 95361

880 E Tuolumne Rd
Ste 202
Turlock, CA 95382
Phone (209) 664-5168

2121 Colorado Ave
Turlock, CA 95382
Phone (209) 664-2520

3900 Geer Rd
Turlock, CA 95382
Phone (209) 669-0600

911 E Tuolumne Rd
Turlock, CA 95382
Phone (209) 668-4101

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

3900 Geer Rd
#1112
Turlock, CA 95382
Phone (209) 669-0600

1801 Colorado Ave
Ste 240
Turlock, CA 95382
Phone (209) 216-3400

Organizations & group practices 4

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.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1326085671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PARK AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953540556",
            "telephone_number": "209-571-6622",
            "fax_number": "209-527-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 MCHENRY AVE",
            "address_2": "SUITE 100",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504500",
            "telephone_number": "209-571-6622",
            "fax_number": "209-527-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGOROPOULOS",
        "first_name": "JERRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "CA",
            "license": "A73614",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A73614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A736140",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.