Individual provider Active NPI

Scott H Grindel, MD

  • Family Medicine Physician
  • Fargo, ND
National Provider Identifier
1467412528
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7130 Issued in ND
Practice address
2101 Elm Street N
Fargo, ND 58102
Phone
(701) 239-3700
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 7130 ND
Family Medicine Physician 207Q00000X 7130 ND Primary
Sports Medicine (Family Medicine) Physician 207QS0010X 4301081032 MI

Addresses

Primary practice location

2101 Elm Street N
Fargo, ND 58102

Mailing address

2101 Elm St N
Fargo, ND 58102-2417
Phone (701) 239-3700

Other practice location 1

225 N State St
Reed City, MI 49677-1089
Phone (231) 832-9533

Other practice location 2

225 N State St
Reed City, MI 49677-1089
Phone (231) 832-9533

Other identifiers 2

IdentifierTypeStateIssuer
0806700192OtherBC/BS PIN
4470847MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20091002000345 MI Practitioner - General PracticePractitioner - Sports Medicine 1254230394 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7130NDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Reed City Hospital Corporation CurrentSince Dec 1, 2002 Accepting new patients
Reed City Hospital Corporation Family Medicine CurrentSince Dec 1, 2002 Accepting new patients

Locations

605 Oak St
Big Rapids, MI 49307
Phone (231) 592-1079

5991 95th Ave
Evart, MI 49631
Phone (231) 734-5561

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

300 N Patterson Rd
Reed City, MI 49677
Phone (231) 832-3271

225 N State St
Reed City, MI 49677
Phone (231) 832-7108

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1467412528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 ELM ST N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581022417",
            "telephone_number": "701-239-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 ELM STREET N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58102",
            "telephone_number": "701-239-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 N State St",
            "address_purpose": "LOCATION",
            "city": "Reed City",
            "state": "MI",
            "postal_code": "496771089",
            "country_code": "US",
            "telephone_number": "231-832-9533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 N State St",
            "address_purpose": "LOCATION",
            "city": "Reed City",
            "state": "MI",
            "postal_code": "496771089",
            "country_code": "US",
            "telephone_number": "231-832-9533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRINDEL",
        "first_name": "SCOTT",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "ND",
            "license": "7130",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "7130",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "MI",
            "license": "4301081032",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PIN",
            "identifier": "0806700192",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4470847",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.