NPIMap

Individual provider Active NPI

Lawrence B Grossman, MD

  • Gastroenterology Physician
  • Philadelphia, PA
National Provider Identifier
1477618270
Registry record updated Feb 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD050925L Issued in PA
Practice address
2000 Grant Ave
Suite 103
Philadelphia, PA 19115-4378
Phone
(215) 333-1776
Fax
(215) 333-0653
NPI assigned
Dec 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD050925L PA Primary

Addresses

Primary practice location

2000 Grant Ave
Suite 103
Philadelphia, PA 19115-4378

Mailing address

2000 Grant Ave
Suite 103
Philadelphia, PA 19115-4378
Phone (215) 333-1776

Other identifiers 1

IdentifierTypeStateIssuer
0010101650037MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120228000453 PA Practitioner - GastroenterologyPractitioner - Internal Medicine 0042408742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Temple University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

420 W Linfield Trappe Rd
Gastroenterology Limerick
Limerick, PA 19468-4279
Phone (484) 938-4030

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy233
Upper gastrointestinal (GI) endoscopy for acid reflux184

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Feb 23, 2024 Accepting new patients
Clinical Care Associates of the University of CurrentSince Feb 23, 2024 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Current Accepting new patients
Greater Northeast Gastroenterology Associates PC Gastroenterology Past Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst Gastroenterology Past Accepting new patients
Endoscopy Associates of Valley Forge, LLC Past Accepting new patients

Locations

824 Main St
Ste 307
Phoenixville, PA 19460
Phone (610) 482-6500

420 W Linfield Trappe Rd
Royersford, PA 19468
Phone (610) 279-8686

420 W Linfield Trappe Rd
Ste 200
Royersford, PA 19468
Phone (610) 495-2300

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Organizations & group practices 6

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 9

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": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359676800000",
    "number": "1477618270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 GRANT AVE",
            "address_2": "SUITE 103",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191154378",
            "telephone_number": "215-333-1776",
            "fax_number": "215-333-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 GRANT AVE",
            "address_2": "SUITE 103",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191154378",
            "telephone_number": "215-333-1776",
            "fax_number": "215-333-0653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "LAWRENCE",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2013-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD050925L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010101650037",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.