Active NPI
Daniel Luke Grimmer, MD
- Anatomic Pathology & Clinical Pathology Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- J2588
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117445002 | Medicaid | TX | |
| 117445004 | Medicaid | TX |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| J2588 | TX | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf Coast Pathology Program PLLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Baylor College of Medicine | Blood Banking & Transfusion Medicine | Current | Accepting new patients |
| Cardiovascular Care Providers, Inc. | Past | Accepting new patients | |
| St. Luke's Community Health Services | Past | 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.
-
dba Community Pathology Associates
- Anatomic Pathology & Clinical Pathology Physician
- Pasadena, TX
- NPI 1316921026
Blood Banking & Transfusion Medicine
-
- Anatomic Pathology & Clinical Pathology Physician
- Houston, TX
- NPI 1629643069
-
- Specialist
- Houston, TX
- NPI 1437242617
-
- Rehabilitation Hospital Unit
- The Woodlands, TX
- NPI 1255785382
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Luke's The Woodlands Hospital
- General Acute Care Hospital
- The Woodlands, TX
- NPI 1942208616
-
- General Acute Care Hospital
- Houston, TX
- NPI 1710314141
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; 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.