Individual provider Active NPI

Alan Grillo, M.D.

  • Family Medicine Physician
  • Cadillac, MI
National Provider Identifier
1528098498
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301076596 Issued in MI
Practice address
302 Hobart St
Cadillac, MI 49601-2379
Phone
(231) 775-6076
Fax
(231) 775-0027
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301076596 MI Primary
Emergency Medicine Physician 207P00000X 4301076596 MI

Addresses

Primary practice location

302 Hobart St
Cadillac, MI 49601-2379

Mailing address

PO Box 1024
Cadillac, MI 49601-6024
Phone (231) 775-6076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, MN2 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
I20040406001208 MI Practitioner - Family PracticePractitioner - Emergency Medicine 7517950488 Reassigns benefits to 3 organizations
I20211022000951 MN Practitioner - Family Practice 7517950488 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Reed City Hospital Corporation CurrentSince May 19, 2009 Accepting new patients
Reed City Hospital Corporation CurrentSince May 19, 2009 Accepting new patients
Ecs Western Michigan PC Emergency Medicine CurrentSince Aug 1, 2018 Accepting new patients
Reed City Hospital Corporation Family Medicine Current Accepting new patients
Lifecare Medical Center Current Accepting new patients
Artesian Springs Medical Center Family Medicine CurrentSince Jul 7, 2010 Accepting new patients

Locations

605 Oak St
Big Rapids, MI 49307
Phone (231) 592-1079

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680

615 S Bower St
Greenville, MI 48838
Phone (616) 754-4341

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

100 W Main St
Marion, MI 49665
Phone (231) 629-6393

300 N Patterson Rd
Reed City, MI 49677
Phone (231) 832-3271

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBGBDD/Endpoint/IBGBDD

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1528098498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1024",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496016024",
            "telephone_number": "231-775-6076",
            "fax_number": "231-775-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 HOBART ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012379",
            "telephone_number": "231-775-6076",
            "fax_number": "231-775-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRILLO",
        "first_name": "ALAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301076596",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301076596",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cadillac, MI

Sources for this page

Verify at the official NPI Registry.