Active NPI
Ira N Grenadir, D.P.M.
- Podiatrist
- Cambridge, MA
National Provider Identifier
1407892086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 1556
- Practice address
- 205 Walden Street
Ste.Apt. 5J
Cambridge, MA 02140-3511 - Phone
- (617) 492-1827
- NPI assigned
- Jun 21, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 1556 | MA | Primary |
| Sports Medicine Podiatrist | 213ES0000X | 1556 | MA |
Addresses
Primary practice location
205 Walden Street
Ste.Apt. 5J
Cambridge, MA 02140-3511
Mailing address
205 Walden Street
Ste. 5J
Cambridge, MA 02140-3511
Phone (617) 492-1827
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1556 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1407892086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 WALDEN STREET",
"address_2": "STE. 5J",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021403511",
"telephone_number": "617-492-1827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 WALDEN STREET",
"address_2": "STE.APT. 5J",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021403511",
"telephone_number": "617-492-1827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRENADIR",
"first_name": "IRA",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MA",
"license": "1556",
"primary": true
},
{
"code": "213ES0000X",
"taxonomy_group": "",
"desc": "Podiatrist, Sports Medicine",
"state": "MA",
"license": "1556",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.