Individual provider Active NPI

Peter Michael Grondziowski, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Pittsburgh, PA
National Provider Identifier
1447250469
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD044862L Issued in PA
Practice address
1580 McLaughlin Run Rd
Suite 212
Pittsburgh, PA 15241-3100
Phone
(412) 319-7215
Fax
(412) 319-7041
NPI assigned
Aug 1, 2005
Last updated
Aug 26, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD044862L PA Primary

Addresses

Primary practice location

1580 McLaughlin Run Rd
Suite 212
Pittsburgh, PA 15241-3100

Mailing address

1580 McLaughlin Run Rd
Suite 212
Pittsburgh, PA 15241-3100
Phone (412) 319-7215

Other identifiers 3

IdentifierTypeStateIssuer
0017395540012MedicaidPA
2005524-000MedicaidWV
2371071MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20160119000685 PA Order and Referring Only - EndocrinologyPractitioner - Endocrinology 6204730443

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1447250469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 MCLAUGHLIN RUN RD",
            "address_2": "SUITE 212",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152413100",
            "telephone_number": "412-319-7215",
            "fax_number": "412-319-7041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 MCLAUGHLIN RUN RD",
            "address_2": "SUITE 212",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152413100",
            "telephone_number": "412-319-7215",
            "fax_number": "412-319-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRONDZIOWSKI",
        "first_name": "PETER",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-01",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MD044862L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017395540012",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2005524-000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2371071",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.