Active NPI
Anthony Frank Grosso Jr., DO
- Ophthalmology Physician
- Pottsville, PA
National Provider Identifier
1396742979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 05012190
- Practice address
- 201 E Laurel Blvd
Pottsville, PA 17901-2534 - Phone
- (570) 628-4444
- Fax
- (570) 628-3088
- NPI assigned
- Jun 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 05012190 | PA | Primary |
Addresses
Primary practice location
201 E Laurel Blvd
Pottsville, PA 17901-2534
Mailing address
201 E Laurel Blvd
Pottsville, PA 17901-2534
Phone (570) 628-4444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001892154 | Medicaid | PA |
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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040603000720 | PA | Practitioner - Ophthalmology | 5890777809 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bethlehem Eye Associates PC
Practice addresses (Care Compare)
800 Eaton Ave
Suite 101
Bethlehem, PA 18018-1895
Phone (610) 691-3335
Hospital & facility affiliations
- St Lukes Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.9 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.33
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 377 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05012190 | PA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bethlehem Eye Associates, P.C. | Ophthalmology | Current | Accepting new patients |
Locations
800 Eaton Ave
Ste 101
Bethlehem, PA 18018
Phone (610) 691-3335
Organizations & group practices 1
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
- Bethlehem, PA
- NPI 1952363970
Ophthalmology, PA
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Adult Mental Health Clinic/Center
- Lehighton, PA
- NPI 1962094920
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260403200000",
"number": "1396742979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 E LAUREL BLVD",
"city": "POTTSVILLE",
"state": "PA",
"postal_code": "179012534",
"telephone_number": "570-628-4444",
"fax_number": "570-628-3088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 E LAUREL BLVD",
"city": "POTTSVILLE",
"state": "PA",
"postal_code": "179012534",
"telephone_number": "570-628-4444",
"fax_number": "570-628-3088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSSO",
"first_name": "ANTHONY",
"middle_name": "FRANK",
"name_suffix": "Jr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-28",
"last_updated": "2009-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PA",
"license": "05012190",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001892154",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pottsville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; 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.