Active NPI
Gursimran Grewal, MD
- Internal Medicine Physician
- Snoqualmie, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD61687120
- Practice address
- 9801 Frontier Ave SE
Snoqualmie, WA 98065-5200 - Phone
- (425) 831-2300
- NPI assigned
- Apr 7, 2022
- Last updated
- Oct 15, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD61687120 | WA | Primary |
Addresses
Primary practice location
9801 Frontier Ave SE
Snoqualmie, WA 98065-5200
Mailing address
1321 Colby Ave Ste B400
Everett, WA 98201-1665
Phone (425) 297-5234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD61687120 | Other | WA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- 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
- Internal Medicine
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9801 Frontier Ave SE
Snoqualmie, WA 98065-5200
Phone (425) 831-2313
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD61687120 | WA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital District No 4 King County Washington | Current | Accepting new patients | |
| Public Hospital District No 4 King County Washington | Current | Accepting new patients | |
| Public Hospital District No 4, King County Wa | Internal Medicine | Past | Accepting new patients |
Locations
9801 Frontier Ave SE
Snoqualmie, WA 98065
Phone (425) 831-2300
Interoperability endpoints
- ggrewal2343088@wm.providencedirect.org
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.
-
dba Snoqualmie Valley Hospital
- Critical Access Hospital
- Snoqualmie, WA
- NPI 1902846546
-
dba Snoqualmie Valley Health Clinic
- Rural Health Clinic/Center
- Snoqualmie, WA
- NPI 1558869289
-
dba Public Hospital District No 4 Clinic
- Family Medicine Physician
- Snoqualmie, WA
- NPI 1144432634
Internal Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Snoqualmie Valley Hospital
- Medicare Defined Swing Bed Hospital Unit
- Snoqualmie, WA
- NPI 1194929471
Nursing home
-
dba Snoqualmie Valley Hospital
- Critical Access Hospital
- Snoqualmie, WA
- NPI 1902846546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760486400000",
"number": "1487395836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1321 COLBY AVE STE B400",
"city": "EVERETT",
"state": "WA",
"postal_code": "982011665",
"telephone_number": "425-297-5234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9801 FRONTIER AVE SE",
"city": "SNOQUALMIE",
"state": "WA",
"postal_code": "980655200",
"telephone_number": "425-831-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREWAL",
"first_name": "GURSIMRAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-07",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD61687120",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "MD61687120",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Snoqualmie, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.