Individual provider Active NPI

Adam David Grossman, D.P.M.

  • Podiatrist
  • Washington, PA
National Provider Identifier
1336219591
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC-003788-L Issued in PA
Practice address
27 E Maiden St
Washington, PA 15301-4941
Phone
(724) 222-5230
Fax
(724) 222-3676
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC-003788-L PA Primary
Primary Podiatric Medicine Podiatrist 213EP1101X SC-003788-L PA
Foot Surgery Podiatrist 213ES0131X SC-003788-L PA

Addresses

Primary practice location

27 E Maiden St
Washington, PA 15301-4941

Mailing address

27 E Maiden St
Washington, PA 15301-4941
Phone (724) 222-5230

Other identifiers 1

IdentifierTypeStateIssuer
01402683MedicaidPA

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120118000191 PA Practitioner - Podiatry 2466629381 Practice locations: Washington, PA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

27 E Maiden St
Washington, PA 15301-4941
Phone (724) 222-5230

Hospital & facility affiliations

  • Washington Hospital, the Hospital, Washington, PA, CCN 390042

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions24
Removal of nail tissue4523
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC-003788-LPAMDFoot Surgery Podiatrist

Interoperability endpoints

  • Direct secure messaging: grossman.adam.001.0070018@gpc.meditab.direct-ci.com

Hospital & facility affiliations 2

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335225600000",
    "number": "1336219591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 E MAIDEN ST",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153014941",
            "telephone_number": "724-222-5230",
            "fax_number": "724-222-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 E MAIDEN ST",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153014941",
            "telephone_number": "724-222-5230",
            "fax_number": "724-222-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "ADAM",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2012-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC-003788-L",
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "PA",
            "license": "SC-003788-L",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "PA",
            "license": "SC-003788-L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01402683",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

Verify at the official NPI Registry.