Individual provider Active NPI

David A Gruenberg, M.D.

  • Allergy & Immunology Physician
  • Chelmsford, MA
National Provider Identifier
1386773422
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
251130 Issued in MA
Practice address
9 Village SQ
Chelmsford, MA 01824-2712
Phone
(978) 256-4531
Fax
(978) 256-1377
NPI assigned
Mar 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 251130 MA Primary

Addresses

Primary practice location

9 Village SQ
Chelmsford, MA 01824-2712

Mailing address

9 Village SQ
Chelmsford, MA 01824-2712
Phone (978) 256-4531

Other practice location 1

505 W Hollis St Ste 108
Nashua, NH 03062-1386
Phone (603) 881-7433

Other practice location 2

200 Sutton St Ste 150
North Andover, MA 01845-1645
Phone (978) 689-8890

Other identifiers 1

IdentifierTypeStateIssuer
110093601AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100922001137 NH Practitioner - Allergy/Immunology 3577695121 Reassigns benefits to 1 organization
I20120905000009 MA Practitioner - Allergy/Immunology 3577695121 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Tufts University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allergy and Asthma Specialists, PCGroup PAC ID 3577508670, 5 clinicians

Practice addresses (Care Compare)

505 W Hollis St
Suite 101
Nashua, NH 03062-1386
Phone (603) 881-7433

9 Village SQ
Chelmsford, MA 01824-2712
Phone (978) 256-4531

Hospital & facility affiliations

  • Lowell General Hospital Hospital, Lowell, MA, CCN 220063

Merit-based Incentive Payment System (MIPS)

Final score
60.13 of 100Reported as group
Quality
67.82
Improvement activities
40
Cost
10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
251130MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Specialists, PC Allergy & Immunology CurrentSince Aug 1, 2016 Accepting new patients
Lahey Clinic, Inc. CurrentSince Aug 15, 2012 Accepting new patients
Allergy & Asthma Specialists, LLC Allergy & Immunology PastSince Apr 11, 2018 Accepting new patients

Locations

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

200 Sutton St
Ste 150
North Andover, MA 01845
Phone (978) 689-8890

200 Sutton St
North Andover, MA 01845
Phone (774) 261-5985

9 Village Sq
South Chelmsford, MA 01824
Phone (978) 256-4531

505 W Hollis St
Ste 101
Nashua, NH 03062
Phone (603) 881-7433

505 W Hollis St
Ste 108
Nashua, NH 03062
Phone (603) 881-7433

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JECCAA/Endpoint/JECCAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/JECCAA

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.

Hospital & facility affiliations 1

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": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1386773422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 VILLAGE SQ",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242712",
            "telephone_number": "978-256-4531",
            "fax_number": "978-256-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 VILLAGE SQ",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242712",
            "telephone_number": "978-256-4531",
            "fax_number": "978-256-1377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 W Hollis St Ste 108",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "030621386",
            "country_code": "US",
            "telephone_number": "603-881-7433",
            "fax_number": "603-880-3113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Sutton St Ste 150",
            "address_purpose": "LOCATION",
            "city": "North Andover",
            "state": "MA",
            "postal_code": "018451645",
            "country_code": "US",
            "telephone_number": "978-689-8890",
            "fax_number": "978-794-1408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUENBERG",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MA",
            "license": "251130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110093601A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelmsford, MA

Sources for this page

Verify at the official NPI Registry.