Raisa Gringauz, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

44183 Issued in MN

Practice address

4330 Cedar Lake Rd S
St Louis Park, MN 55416-3700

Phone

(952) 381-3434

Fax

(952) 377-1430

NPI assigned

Jun 13, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Minnesota Medical and Rehabilitative Services, LLC

  • Physical Therapist
  • St. Louis Park, MN
  • NPI 1154302545
  Medicare reassignment NPD
• Life Medical, P.a.

  • Multi-Specialty Clinic/Center
  • Saint Louis Park, MN
  • NPI 1740222496
  Medicare reassignment
• Chiromed Clinic, P.a.

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Minneapolis, MN
  • NPI 1891841128
  NPD (past)
• Primary Care & Rehabilitation Clinics, Inc.

  • Multi-Specialty Clinic/Center
  • St Louis Park, MN
  • NPI 1306842547
  NPD (past)

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213315200000",
    "number": "1396905212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 MINNESOTA LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554462181",
            "telephone_number": "952-381-3434",
            "fax_number": "952-377-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 CEDAR LAKE RD S",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554163700",
            "telephone_number": "952-381-3434",
            "fax_number": "952-377-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINGAUZ",
        "first_name": "RAISA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-13",
        "last_updated": "2008-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MN",
            "license": "44183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Griffin, CRNA
• Amy Griffis
• Amy Griffith, PT
• Robert Michael Grimm, DDS
• Hans S Grinager, MD
• Sarah Elizabeth Groen, PHARMD
• Bethany Jean Grommesh, MD
• Joseph Theodore Groshens
• Janice Faye Gross, OT
• Keelyn Gross, PT

• Physical Medicine & Rehabilitation Physician in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Physical Medicine & Rehabilitation Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.