Individual provider Active NPI

Janet Mary Grimes, M.D.

  • Addiction Medicine (Family Medicine) Physician
  • Springfield, MA
National Provider Identifier
1528114857
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
239455 Issued in MA
Practice address
417 Liberty St
Springfield, MA 01104-3736
Phone
(413) 747-0705
Fax
(413) 732-7075
NPI assigned
Jan 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 239455 MA
Addiction Medicine (Preventive Medicine) Physician 2083A0300X 239455 MA
Addiction Medicine (Family Medicine) Physician 207QA0401X 239455 MA Primary

Addresses

Primary practice location

417 Liberty St
Springfield, MA 01104-3736

Mailing address

417 Liberty St
Springfield, MA 01104-3736
Phone (413) 747-0705

Other practice location 1

271 Carew St
Springfield, MA 01104-2377
Phone (413) 539-2815

Other practice location 2

1233 Main St
Holyoke, MA 01040-5381
Phone (413) 539-2958

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 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
I20090801000000 MA Practitioner - Family PracticePractitioner - Addiction Medicine 0244383693 Reassigns benefits to 4 organizations
I20240815002290 RI Practitioner - Family Practice 0244383693 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
239455MAMDAddiction Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hopehealth Hospice & Palliative Care CurrentSince Jul 8, 2024 Accepting new patients
Mercy Inpatient Medical Associates Inc. Family Medicine CurrentSince Apr 1, 2020 Accepting new patients
Mercy Specialist Physicians Inc Addiction Medicine CurrentSince Apr 1, 2020 Accepting new patients
Hopehealth Hospice & Palliative Care CurrentSince Jul 8, 2024 Accepting new patients

Locations

10 Emory St
Attleboro, MA 02703
Phone (401) 415-4618

1233 Main St
Holyoke, MA 01040
Phone (413) 264-0819

233 Carew St
#101
Springfield, MA 01104
Phone (413) 748-9212

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

401 Chestnut St
#1
Springfield, MA 01104
Phone (413) 737-3526

1085 N Main St
Providence, RI 02904
Phone (401) 415-4200

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1528114857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 LIBERTY ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011043736",
            "telephone_number": "413-747-0705",
            "fax_number": "413-732-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 LIBERTY ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011043736",
            "telephone_number": "413-747-0705",
            "fax_number": "413-732-7075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "271 Carew St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011042377",
            "country_code": "US",
            "telephone_number": "413-539-2815",
            "fax_number": "413-539-2992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1233 Main St",
            "address_purpose": "LOCATION",
            "city": "Holyoke",
            "state": "MA",
            "postal_code": "010405381",
            "country_code": "US",
            "telephone_number": "413-539-2958",
            "fax_number": "413-539-2887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "JANET",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-27",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "239455",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "MA",
            "license": "239455",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "MA",
            "license": "239455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.