Active NPI
Stephanie Grube, M.D.
- Obstetrics & Gynecology Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- D87033
- Practice address
- 600 N Wolfe St
Baltimore, MD 21287 - Phone
- (410) 955-5000
- NPI assigned
- May 15, 2015
- Last updated
- Jun 27, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | D87033 | MD | Primary |
Addresses
Primary practice location
600 N Wolfe St
Baltimore, MD 21287
Mailing address
9910 Franklin Square Dr # 2110
Baltimore, MD 21236-4902
Phone (410) 933-6421
Other practice location 1
63 Mountain Lodge Rd
Monroe, NY 10950
Phone (845) 325-7653
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D87033 | Other | MD | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
440 Seaview Ave
Staten Island, NY 10305-3401
Phone (718) 226-6791
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D87033 | MD | MD | Obstetrics & Gynecology Physician |
| 312020 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Obstetrics & Gynecology | Current | Accepting new patients |
| Johns Hopkins University | Obstetrics & Gynecology | Current | Accepting new patients |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Staten Island University Hospital | Past | Accepting new patients |
Locations
600 N Wolfe St
Baltimore, MD 21287
10755 Falls Rd
Timonium, MD 21093
Phone (410) 583-2727
300 Community Dr
Manhasset, NY 11030
440 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-6550
475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- sgrube28275@northwell.direct-ci.com
- sgrube541644@direct.hopkinsmedicine.org
Organizations & group practices 5
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.
-
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Obstetrics & Gynecology
-
dba Jhu - Anesthesia Pain MGMT
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- NPI 1922008549
-
dba Jhu - OB/GYN
- Obstetrics & Gynecology Physician
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- NPI 1255315339
-
dba JHU - 4692 Millennium Drive - Physician
- Ophthalmology Physician
- Belcamp, MD
- NPI 1376342774
-
- General Acute Care Hospital
- Staten Island, NY
- NPI 1407877137
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Staten Island, NY
- NPI 1407877137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561593600000",
"number": "1518345065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9910 FRANKLIN SQUARE DR # 2110",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212364902",
"telephone_number": "410-933-6421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N WOLFE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21287",
"telephone_number": "410-955-5000"
}
],
"practiceLocations": [
{
"address_1": "63 Mountain Lodge Rd",
"address_purpose": "LOCATION",
"city": "Monroe",
"state": "NY",
"postal_code": "10950",
"country_code": "US",
"telephone_number": "845-325-7653",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRUBE",
"first_name": "STEPHANIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-15",
"last_updated": "2019-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MD",
"license": "D87033",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "D87033",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.