Andrew George Grossman, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

ME117019 Issued in FL

Practice address

500 Palm Springs Blvd Apt 601
Indian Harbour Beach, FL 32937-2652

Phone

(973) 886-0045

Fax

(888) 453-1715

NPI assigned

May 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL, TX, CA3 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 3

Specialty

Emergency Medicine

Education

New York Medical College, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Space Coast Urgent Care LLCGroup PAC ID 6901282227, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (9 of 10)

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: andrew.grossman.1@25911.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/25911/brand/1/csg/1/fhir/r4

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.

• Brevard Universal Clinical Services, LLC

  • General Practice Physician
  • Melbourne, FL
  • NPI 1902644644

  FL

  Medicare reassignment NPD Authorized official
• Space Coast Urgent Care LLC

  • Urgent Care Clinic/Center
  • Indian Harbour Beach, FL
  • NPI 1396405718

  FL

  Medicare reassignment Care Compare group NPD
• Integrated Emergency Medicine Specialists LLC

  • Emergency Medicine Physician
  • Naples, FL
  • NPI 1174991632

  Emergency Medicine, FL

  Medicare reassignment NPD
• Larkin Emergency Physicians LLC

  • Emergency Medicine Physician
  • Hialeah, FL
  • NPI 1831558626

  Emergency Medicine, FL

  Medicare reassignment NPD
• Melbourne Emergency Group, LLC

  • Emergency Medicine Physician
  • Melbourne, FL
  • NPI 1932562915

  Emergency Medicine, FL

  Medicare reassignment NPD
• Rockledge Emergency Group LLC

  • Emergency Medicine Physician
  • Rockledge, FL
  • NPI 1306200522

  Emergency Medicine, FL

  Medicare reassignment NPD
• Sunshine Physician Services, PC

  • Emergency Medicine Physician
  • Bakersfield, CA
  • NPI 1649725466

  CA

  Medicare reassignment
• Chilton Emergency Physicians LLC

  • Emergency Medicine Physician
  • Pompton Plaine, NJ
  • NPI 1346207479

  Emergency Medicine

  NPD (past)
• Quentin N Burdick Comprehensive Health Care Facility

  • Pharmacist
  • Belcourt, ND
  • NPI 1245754548
  NPD (past)
• Southern Bank Emergency Physicians LLC

  • Emergency Medicine Physician
  • New Brunswick, NJ
  • NPI 1629205844

  Emergency Medicine

  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1528026853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PALM SPRINGS BLVD APT 601",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329372652",
            "telephone_number": "973-886-0045",
            "fax_number": "888-453-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PALM SPRINGS BLVD APT 601",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329372652",
            "telephone_number": "973-886-0045",
            "fax_number": "888-453-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "ANDREW",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME117019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0838705",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lea Aimee Gaffen, LCSW
• Joseph Gallagher
• Sean Gloddy
• Trevor Frederick Markus Gravel, MA
• Tammy L Green, OTR
• Sonia Guerao, LMHC
• Guyer Wellness Group
• H2 Rehabilitation Services of Florida LLC
• H2 Rehabilitation Services of Florida LLC
• Kevin Russell Hall, PHARMD

• Emergency Medicine Physician in Indian Harbour Beach, FL
• Providers in Indian Harbour Beach, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.

Verify at the official NPI Registry.