Individual provider Active NPI

Robert Grant, D.O.

  • Pulmonary Disease Physician
  • Jupiter, FL
National Provider Identifier
1508823659
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
OS4194 Issued in FL
Practice address
500 University Blvd Ste 211
Jupiter, FL 33458-2775
Phone
(561) 323-6555
Fax
(561) 323-6556
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 5101007437 MI
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X OS4194 FL Primary

Addresses

Primary practice location

500 University Blvd Ste 211
Jupiter, FL 33458-2775

Mailing address

500 University Blvd Ste 211
Jupiter, FL 33458-2775
Phone (561) 323-6555

Other identifiers 1

IdentifierTypeStateIssuer
2892103MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040525001492 MI Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 4789665878 Practice locations: Farmington Hills, MI; Garden City, MI; Dearborn, MI
I20220302001776 FL Practitioner - Pulmonary Disease 4789665878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Palm Beach Pulmonary and Critical Care, PAGroup PAC ID 8224008156, 3 clinicians

Practice addresses (Care Compare)

500 University Blvd
Suite 211
Jupiter, FL 33458-2775
Phone (561) 323-6555

Hospital & facility affiliations

  • Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253
  • Palm Beach Gardens Medical Center Hospital, Palm Beach Gardens, FL, CCN 100176
  • Good Samaritan Medical Center Hospital, West Palm Beach, FL, CCN 100287
  • HCA Florida JFK Hospital Hospital, Atlantis, FL, CCN 100080

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS4194FLMDPulmonary Disease Physician
5101007437MIMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Palm Beach Pulmonary and Critical Care, PA Single Specialty CurrentSince Apr 11, 2022 Accepting new patients

Locations

500 University Blvd
Ste 211
Jupiter, FL 33458
Phone (561) 323-6555

Organizations & group practices 1

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 4

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1508823659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY BLVD STE 211",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582775",
            "telephone_number": "561-323-6555",
            "fax_number": "561-323-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY BLVD STE 211",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582775",
            "telephone_number": "561-323-6555",
            "fax_number": "561-323-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "ROBERT",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "5101007437",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "OS4194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2892103",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.