Active NPI
Melissa J Grigsby, MD
- Trauma Surgery Physician
- Newark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- 25MA11944900
- Practice address
- 150 Bergen St
Newark, NJ 07103-2496 - Phone
- (973) 972-0376
- NPI assigned
- Jun 16, 2016
- Last updated
- Dec 18, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 01095238A | IN | |
| Surgical Critical Care Physician | 2086S0102X | 01095238A | IN | |
| Trauma Surgery Physician | 2086S0127X | 25MA11944900 | NJ | Primary |
Addresses
Primary practice location
150 Bergen St
Newark, NJ 07103-2496
Mailing address
150 Bergen St # M229
Newark, NJ 07103-2496
Other practice location 1
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (317) 962-2000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300099580 | Medicaid | IN | |
| 1102139741 | Other | IN | ANTHEM PTAN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mgrigsby@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30 Bergen St
Newark, NJ 07107-3000
Phone (973) 972-0037
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01095238A | IN | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Surgeons, Inc. | Surgery | Current | Accepting new patients |
| University Physician Associates of New Jersey Inc | Surgery | Current | Accepting new patients |
| University Physician Associates of New Jersey Inc | Current | Accepting new patients | |
| Indiana University Health West Hospital Inc | Past | Accepting new patients | |
| Indiana University Health Inc | Past | Accepting new patients | |
| Indiana University Health Inc | Past | Accepting new patients | |
| University Hospital | Past | Accepting new patients | |
| Regents of the Univ of Ca | Surgery | Past | Accepting new patients |
| Regents of the Univ of Ca | Past | Accepting new patients | |
| The Health and Hospital Corporation of Marion County | Past | Accepting new patients | |
| Indiana University Health North Hospital Inc | Past | Accepting new patients | |
| Indiana University Health Inc | Past | Accepting new patients |
Locations
7630 Solutions Ctr
Chicago, IL 60677
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000
150 Bergen St
Newark, NJ 07103
Phone (973) 972-6056
150 Bergen St
#M229
Newark, NJ 07103
30 Bergen St
#12
Newark, NJ 07107
Phone (973) 972-0037
30 Bergen St
Bldg 12
Newark, NJ 07107
Phone (973) 972-0037
30 Bergen St
Rm 1205
Newark, NJ 07107
Phone (973) 972-0037
Organizations & group practices 12
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.
-
dba University Surgical Associates
- Surgery Physician
- Newark, NJ
- NPI 1639189236
-
- Surgery Physician
- Indianapolis, IN
- NPI 1316966229
-
dba University Medical Associates
- Internal Medicine Physician
- Newark, NJ
- NPI 1760492367
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1215998323
-
- Children's Hospital
- Indianapolis, IN
- NPI 1114958584
-
dba Indiana University Health
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
-
dba Indiana University Health Renal Services
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Indianapolis, IN
- NPI 1740218940
-
dba IU Health North Hospital
- General Acute Care Hospital
- Carmel, IN
- NPI 1568492916
-
dba IU Health West Hospital
- General Acute Care Hospital
- Avon, IN
- NPI 1063443455
-
- Surgery Physician
- Sacramento, CA
- NPI 1427041698
-
- Pulmonary Disease Physician
- Sacramento, CA
- NPI 1437142692
-
dba Eskenazi Health
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1568407310
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1215998323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734480000000",
"number": "1588014971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 BERGEN ST # M229",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071032496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 BERGEN ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071032496",
"telephone_number": "973-972-0376"
}
],
"practiceLocations": [
{
"address_1": "1701 N Senate Blvd",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462021239",
"country_code": "US",
"telephone_number": "317-962-2000",
"fax_number": "317-968-1127",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRIGSBY",
"first_name": "MELISSA",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-16",
"last_updated": "2024-12-18",
"certification_date": "2024-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "01095238A",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "IN",
"license": "01095238A",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "NJ",
"license": "25MA11944900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300099580",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PTAN",
"identifier": "1102139741",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mgrigsby@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1701 N Senate Blvd",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462021239",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.