Eileen C De Grandis, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

ME127513 Issued in FL

Practice address

670 Glades Rd Ste 100
Boca Raton, FL 33431-6462

Phone

(561) 955-3500

NPI assigned

Jul 23, 2009

Last updated

Jun 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

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

Vascular SurgeryAlso: General Surgery

Education

Temple University School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bocacare IncGroup PAC ID 3870633753, 196 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

Merit-based Incentive Payment System (MIPS)

Final score

98.99 of 100Reported as apm

Quality

81.94

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eileen.de.grandis.1@26289.direct.athenahealth.com

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.

• Bocacare Inc

  dba Baptist Health Medical Group North

  • Internal Medicine Physician
  • Boca Raton, FL
  • NPI 1104058940

  Surgery

  Medicare reassignment Care Compare group NPD
• Port Charlotte Hma Physician Management LLC

  dba Neurology Associates of Charlotte County

  • Family Medicine Physician
  • Punta Gorda, FL
  • NPI 1003985573

  Surgery

  Medicare reassignment NPD
• Bocacare Inc

  • Internal Medicine Physician
  • Boynton Beach, FL
  • NPI 1225845787
  NPD
• Port Charlotte Hma Physician Management LLC

  dba Shorepoint Obstetrics and Gynecology- RHC

  • Rural Health Clinic/Center
  • Arcadia, FL
  • NPI 1730672379
  NPD

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

• Boca Raton Regional Hospital, Inc.

  • General Acute Care Hospital
  • Boca Raton, FL
  • NPI 1902826779
  Care Compare affiliation

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1336379478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 GLADES RD STE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316462",
            "telephone_number": "561-955-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 GLADES RD STE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316462",
            "telephone_number": "561-955-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE GRANDIS",
        "first_name": "EILEEN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-23",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MN",
            "license": "52974",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME127513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariana De Barros Santos Betioli, LM
• Vanessa Coronel De Barros, APRN
• Cintia De Bettio, DMD
• Luiz Ismael De Castro Junior, PT
• Eveline De Castro, M.S., CCC-SLP/L
• Celso Fernando De la Cruz Luque, MD
• Yanet De la Cruz Valdivia
• Monica Lucero De la Fuente
• Elinor De la Morena, APRN
• Noelia Natali De Leon

• Vascular Surgery Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Vascular Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.