Organization Active NPI

Michael J. Grady M.D., P.C.

  • Internal Medicine Physician
  • Washington, DC
National Provider Identifier
1487834735
Registry record updated Jan 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD15901 Issued in DC
Legal business name
MICHAEL J. GRADY M.D., P.C.
Practice address
4201 Cathedral Ave NW
114West
Washington, DC 20016-4901
Phone
(202) 686-0813
Fax
(202) 222-0429
NPI assigned
Nov 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2008

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

Authorized official

Name
Dr. Michael John Grady, M.D.
Title
President
Phone
(202) 686-0813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD15901 DC Primary

Addresses

Primary practice location

4201 Cathedral Ave NW
114West
Washington, DC 20016-4901

Mailing address

4201 Cathedral Ave NW
114West
Washington, DC 20016-4901
Phone (202) 686-0813

National Provider Directory

National Provider Directory

Locations

962 Wayne Ave
Ste 902
Silver Spring, MD 20910

NPI Registry JSON

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

{
    "created_epoch": "1194134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201219200000",
    "number": "1487834735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 CATHEDRAL AVE NW",
            "address_2": "114WEST",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164901",
            "telephone_number": "202-686-0813",
            "fax_number": "202-222-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 CATHEDRAL AVE NW",
            "address_2": "114WEST",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164901",
            "telephone_number": "202-686-0813",
            "fax_number": "202-222-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. GRADY M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-04",
        "last_updated": "2008-01-25",
        "status": "A",
        "authorized_official_last_name": "GRADY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-686-0813",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD15901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.