Active NPI
Michael A. Grasso, MD, PHD
- Internal Medicine Physician
- Baltimore, MD
National Provider Identifier
1407990823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0067245
- Practice address
- 22 S Greene St
Medicine, N3E09
Baltimore, MD 21201-1544 - Phone
- (410) 328-6110
- NPI assigned
- Feb 18, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | D0067245 | MD | |
| Clinical Informatics Physician | 2083C0008X | D0067245 | MD | |
| Internal Medicine Physician | 207R00000X | D0067245 | MD | Primary |
Addresses
Primary practice location
22 S Greene St
Medicine, N3E09
Baltimore, MD 21201-1544
Mailing address
110 S Paca St, 6TH Floor, Suite 200
Department of Emergency Medicine
Baltimore, MD 21201
Phone (410) 328-8025
Other practice location 1
10 N Green Street
Baltimore, MD 20723
Phone (410) 605-7000
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
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0067245 | MD | MD | Emergency Medicine Physician |
Interoperability endpoints
- mgrasso571@direct.umm.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1407990823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 S PACA ST, 6TH FLOOR, SUITE 200",
"address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21201",
"telephone_number": "410-328-8025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 S GREENE ST",
"address_2": "MEDICINE, N3E09",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011544",
"telephone_number": "410-328-6110"
}
],
"practiceLocations": [
{
"address_1": "10 N Green Street",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "20723",
"country_code": "US",
"telephone_number": "410-605-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRASSO",
"first_name": "MICHAEL",
"middle_name": "A.",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-18",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MD",
"license": "D0067245",
"primary": false
},
{
"code": "2083C0008X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Clinical Informatics",
"state": "MD",
"license": "D0067245",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0067245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.