Herbert M Grossman, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

19836 Issued in AZ

Practice address

4525 E Skyline Dr
Suite #125
Tucson, AZ 85718-1666

Phone

(520) 742-7724

Fax

(520) 299-6577

NPI assigned

Dec 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Psychiatry

Education

University of Cincinnati College of Medicine, 1965

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354147200000",
    "number": "1477615201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 E SKYLINE DR",
            "address_2": "SUITE #125",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857181666",
            "telephone_number": "520-742-7724",
            "fax_number": "520-299-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 E SKYLINE DR",
            "address_2": "SUITE #125",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857181666",
            "telephone_number": "520-742-7724",
            "fax_number": "520-299-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "HERBERT",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2012-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "19836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig G Gross, M.D.
• Jonathon Lober Gross, MD
• Pius Gross, NURSE PRACTITIONER
• Steven E Gross, MD
• Grossman & Grossman LTD
• Michael Alan Grossman, DDS
• Ruth D Grossman
• Solomon P Grossman, PH.D.
• Jessica Anne Grotfeldt, L.AC
• Sarah Grothe

• Psychiatry Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.

Verify at the official NPI Registry.