Individual provider Active NPI

Susan Sirianni Grimm, DC

  • Chiropractor
  • Rochester, NY
National Provider Identifier
1578653341
Registry record updated Jun 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X008562-1 Issued in NY
Practice address
2349 Monroe Ave
Rochester, NY 14618
Phone
(585) 442-6030
Fax
(585) 442-2977
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X008562-1 NY Primary

Addresses

Primary practice location

2349 Monroe Ave
Rochester, NY 14618

Mailing address

2349 Monroe Ave
Rochester, NY 14618-3025
Phone (585) 442-6030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051216000295 NY Practitioner - Chiropractic 1759302839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Focused Health Chiropractic PLLCGroup PAC ID 4789694910, 4 clinicians

Practice addresses (Care Compare)

2349 Monroe Ave
Rochester, NY 14618-3033
Phone (585) 442-6030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X008562-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Focused Health Chiropractic PLLC Chiropractor CurrentSince May 18, 2006 Accepting new patients

Locations

2349 Monroe Ave
Rochester, NY 14618
Phone (585) 442-6030

Organizations & group practices 1

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1578653341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2349 MONROE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183025",
            "telephone_number": "585-442-6030",
            "fax_number": "585-442-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2349 MONROE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14618",
            "telephone_number": "585-442-6030",
            "fax_number": "585-442-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRIANNI GRIMM",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008562-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.