Active NPI
Lola M. Grillo, M.D.
- Ophthalmology Physician
- Manchester, NH
National Provider Identifier
1366804494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 21444
- Practice address
- 1415 Elm St
Manchester, NH 03101-1325 - Phone
- (603) 669-3925
- NPI assigned
- Mar 28, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Ophthalmology Physician | 207W00000X | 21444 | NH | Primary |
Addresses
Primary practice location
1415 Elm St
Manchester, NH 03101-1325
Mailing address
PO Box 725
Cooperstown, NY 13326-0725
Phone (607) 547-3456
Other practice location 1
1 Atwell Rd
Cooperstown, NY 13326-1301
Phone (607) 547-3456
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Columbia University College of Physicians and Surgeons, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
63 Shaker Rd
Suite 101
Albany, NY 12204-1030
Phone 5184341042108
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.79 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 75.95
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 48 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albany Eye Associates Physicians & Surgeons PC | Ophthalmology | Current | Accepting new patients |
| Pinnacle Rehabilitation Network LLC | Past | Accepting new patients | |
| Amoskeag Health | Past | Accepting new patients |
Locations
63 Shaker Rd
Ste 101
Albany, NY 12204
Phone (518) 434-1042
Interoperability endpoints
- drgrillo@albanyeyeassociates.medentdirect.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Northeast Rehabilitation Hospital Network | Hospital | Corporate Director (12%) | Jun 1, 2013 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
Organizations & group practices 3
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.
-
- Ophthalmology Physician
- Albany, NY
- NPI 1578659868
-
- Federally Qualified Health Center (FQHC)
- Manchester, NH
- NPI 1225625643
-
- Physical Therapist
- Freeport, ME
- NPI 1235940388
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Niskayana, NY
- NPI 1154973071
Hospital
-
- General Acute Care Hospital
- Albany, NY
- NPI 1376577247
-
- General Acute Care Hospital
- Albany, NY
- NPI 1811917461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1366804494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 725",
"city": "COOPERSTOWN",
"state": "NY",
"postal_code": "133260725",
"telephone_number": "607-547-3456",
"fax_number": "607-547-6612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 ELM ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031011325",
"telephone_number": "603-669-3925"
}
],
"practiceLocations": [
{
"address_1": "1 Atwell Rd",
"address_purpose": "LOCATION",
"city": "Cooperstown",
"state": "NY",
"postal_code": "133261301",
"country_code": "US",
"telephone_number": "607-547-3456",
"fax_number": "607-547-6612",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRILLO",
"first_name": "LOLA",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-28",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NH",
"license": "21444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.