Individual provider Active NPI

Daniel Luke Grimmer, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Houston, TX
National Provider Identifier
1427010610
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
J2588 Issued in TX
Practice address
One Baylor Plaze, Suite 286a
Baylor College of Medicine, Department of Pathology
Houston, TX 77030
Phone
(713) 785-8357
NPI assigned
Apr 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Blood Banking & Transfusion Medicine Physician 207ZB0001X J2588 TX
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X J2588 TX Primary

Addresses

Primary practice location

One Baylor Plaze, Suite 286a
Baylor College of Medicine, Department of Pathology
Houston, TX 77030

Mailing address

PO Box 4677
Houston, TX 77210-4677
Phone (713) 818-3697

Other identifiers 2

IdentifierTypeStateIssuer
117445002MedicaidTX
117445004MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20100825000172 TX Practitioner - Pathology 7517029002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Iowa, RJ & L Carver College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baylor College of MedicineGroup PAC ID 8527956176, 47 clinicians

Practice addresses (Care Compare)

1115 Ave G
Bay City, TX 77414-3540
Phone (979) 245-6383

20171 Chasewood Park Dr
Houston, TX 77070-1437
Phone (713) 481-3513

6720 Bertner Ave
Houston, TX 77030-2604
Phone (713) 481-3500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J2588TXMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Pathology Program PLLC Anatomic Pathology & Clinical Pathology Current Accepting new patients
Baylor College of Medicine Blood Banking & Transfusion Medicine CurrentSince Jan 23, 2016 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
St. Luke's Community Health Services PastSince Apr 30, 2003 Accepting new patients

Locations

1115 Avenue G
Bay City, TX 77414
Phone (979) 245-6383

3200 Wilcrest Dr
Ste 600
Houston, TX 77042

481 Ih 45 S
Ste 7
Huntsville, TX 77340
Phone (409) 291-9704

17200 St Lukes Way
The Woodlands, TX 77384
Phone (936) 266-2008

6720 Bertner Ave
Va Hospital, TX 77030
Phone (713) 785-8537

Organizations & group practices 4

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 2

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": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333411200000",
    "number": "1427010610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4677",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104677",
            "telephone_number": "713-818-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE BAYLOR PLAZE, SUITE 286A",
            "address_2": "BAYLOR COLLEGE OF MEDICINE, DEPARTMENT OF PATHOLOGY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77030",
            "telephone_number": "713-785-8357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMMER",
        "first_name": "DANIEL",
        "middle_name": "LUKE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2012-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZB0001X",
            "taxonomy_group": "",
            "desc": "Pathology, Blood Banking & Transfusion Medicine",
            "state": "TX",
            "license": "J2588",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "J2588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117445002",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117445004",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.