Individual provider Active NPI

Daniel H Gruenstein, MD

  • Pediatric Cardiology Physician
  • Chicago, IL
National Provider Identifier
1518911288
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
48460 Issued in MN
Practice address
5841 S Maryland Ave
MC 4051
Chicago, IL 60637-1447
Phone
(773) 702-6172
Fax
(773) 702-2319
NPI assigned
May 19, 2006
Last updated
Jan 6, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 48460 MN
Pediatric Cardiology Physician 2080P0202X 48460 MN Primary

Addresses

Primary practice location

5841 S Maryland Ave
MC 4051
Chicago, IL 60637-1447

Mailing address

5841 S Maryland Ave
MC 4051
Chicago, IL 60637-1447
Phone (773) 702-6172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210604001973 ME Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 1254231947 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Pediatric Medicine
Education
University of Cincinnati College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Maine Medical CenterGroup PAC ID 2062315161, 659 clinicians

Practice addresses (Care Compare)

417 State St
Suite 305
Bangor, ME 04401-6654
Phone (207) 973-7107

489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000

7 Main Rd N
Northern Light Primary
Hampden, ME 04444-1334
Phone (207) 862-9400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.1 of 100Reported as group
Quality
64.8
Promoting interoperability
96
Improvement activities
40
Cost
68.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48460MNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Blue Hill Memorial Hospital CurrentSince Sep 1, 2022 Accepting new patients
The Blue Hill Memorial Hospital CurrentSince Sep 1, 2022 Accepting new patients
Acadia Hospital Corp CurrentSince Oct 31, 2021 Accepting new patients
Mercy Hospital CurrentSince Dec 4, 2022 Accepting new patients
The Aroostook Medical Center CurrentSince Nov 2, 2021 Accepting new patients
Sebasticook Valley Health CurrentSince Jul 14, 2022 Accepting new patients
Mercy Hospital CurrentSince Dec 4, 2022 Accepting new patients
Sebasticook Valley Health CurrentSince Jul 14, 2022 Accepting new patients
Maine Coast Regional Health Facilities Pediatrics CurrentSince Nov 9, 2021 Accepting new patients
Mercy Hospital Current Accepting new patients
Maine Coast Regional Health Facilities CurrentSince Nov 9, 2021 Accepting new patients
Eastern Maine Medical Center CurrentSince Jul 4, 2021 Accepting new patients
Eastern Maine Medical Center CurrentSince Jul 4, 2021 Accepting new patients
The Aroostook Medical Center CurrentSince Nov 2, 2021 Accepting new patients
Childrens Research Foundation of Cleveland Pediatrics Past Accepting new patients

Locations

268 Stillwater Ave
Bangor, ME 04401
Phone (207) 973-6470

489 State St
Bangor, ME 04401
Phone (207) 973-8837

57 Water St
Blue Hill, ME 04614
Phone (207) 374-3400

43 Whiting Hill Rd
Ste 200
Brewer, ME 04412
Phone (800) 757-3326

50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304

447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981

140 Academy St
Ste 10
Presque Isle, ME 04769
Phone (207) 764-3734

40 Park Rd
Westbrook, ME 04092
Phone (207) 857-8174

Interoperability endpoints

  • Direct secure messaging: mgruenstein110249@uchospital.direct-ci.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 1

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452038400000",
    "number": "1518911288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE",
            "address_2": "MC 4051",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371447",
            "telephone_number": "773-702-6172",
            "fax_number": "773-702-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE",
            "address_2": "MC 4051",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371447",
            "telephone_number": "773-702-6172",
            "fax_number": "773-702-2319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUENSTEIN",
        "first_name": "DANIEL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2016-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "48460",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "MN",
            "license": "48460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.