Individual provider Active NPI

Gregg H. Grinspan, MD

  • Emergency Medicine Physician
  • Winsted, CT
National Provider Identifier
1568558690
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
023060 Issued in CT
Practice address
115 Spencer St
Winsted, CT 06098-1140
Phone
(860) 738-6650
NPI assigned
Oct 5, 2006
Last updated
Jan 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 023060 CT Primary
Internal Medicine Physician 207R00000X 023060 CT

Addresses

Primary practice location

115 Spencer St
Winsted, CT 06098-1140

Mailing address

PO Box 30774
Hartford, CT 06150-0774
Phone (866) 898-7138

Other identifiers 1

IdentifierTypeStateIssuer
023060OtherCONNECTICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20091210000251 CT Practitioner - Emergency MedicinePractitioner - Internal Medicine 4183707441 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
023060CTMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Afc Physicians of Connecticut, PC CurrentSince May 17, 2025 Accepting new patients
Afc Physicians of Connecticut, PC CurrentSince May 17, 2025 Accepting new patients

Locations

2 Main St
Danbury, CT 06810
Phone (203) 826-2140

179 Talcottville Rd
Vernon Rockville, CT 06066
Phone (860) 986-7600

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1568558690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30774",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061500774",
            "telephone_number": "866-898-7138",
            "fax_number": "616-975-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SPENCER ST",
            "city": "WINSTED",
            "state": "CT",
            "postal_code": "060981140",
            "telephone_number": "860-738-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINSPAN",
        "first_name": "GREGG",
        "middle_name": "H.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CT",
            "license": "023060",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "023060",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "023060",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winsted, CT

Sources for this page

Verify at the official NPI Registry.