Individual provider Active NPI

Matthew Frank Grzywinski, MD

  • Emergency Medicine Physician
  • Baltimore, MD
National Provider Identifier
1619534658
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
D0099548 Issued in MD
Practice address
301 Saint Paul St
Baltimore, MD 21202
Phone
(410) 332-9477
NPI assigned
May 24, 2019
Last updated
Jul 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 2036456 MI
Emergency Medicine Physician 207P00000X MD480180 PA
Emergency Medicine Physician 207P00000X D0099548 MD Primary

Addresses

Primary practice location

301 Saint Paul St
Baltimore, MD 21202

Mailing address

301 Saint Paul St
Baltimore, MD 21202-2102
Phone (410) 332-9477

Other practice location 1

1500 East Medical Center Drive
B1-380 Taubman Center
Ann Arbor, MI 48109
Phone (734) 763-7919

Other practice location 2

1020 Sansom St Ste 239
Philadelphia, PA 19107-5002
Phone (215) 955-6844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD2 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
I20230725002887 PA Practitioner - Emergency Medicine 4183959372 Reassigns benefits to 1 organization
I20240803000190 MD Practitioner - Emergency Medicine 4183959372 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physicians SPPSGroup PAC ID 0648594036, 18 clinicians

Practice addresses (Care Compare)

301 Saint Paul PL
Baltimore, MD 21202-2147
Phone (410) 332-9000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0099548MDMDEmergency Medicine Physician
MD480180PAMDEmergency Medicine Physician
2036456MIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Emergency Medicine Associates, PA Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients
Jefferson University Physicians Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Emergency Physicians SPPS Emergency Medicine CurrentSince Jul 11, 2024 Accepting new patients

Locations

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

821 N Eutaw St
Baltimore, MD 21201
Phone (410) 225-9185

1020 Sansom St
Ste 239
Philadelphia, PA 19107
Phone (215) 955-6844

1101 Market St
Fl 19
Philadelphia, PA 19107
Phone (215) 481-6836

2301 S Broad St
Fl 1
Philadelphia, PA 19148
Phone (215) 952-9136

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

Interoperability endpoints

  • Direct secure messaging: mgrzywinski107694@direct.mdmercy.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1619534658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SAINT PAUL ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022102",
            "telephone_number": "410-332-9477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SAINT PAUL ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21202",
            "telephone_number": "410-332-9477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 East Medical Center Drive",
            "address_2": "B1-380 Taubman Center",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "48109",
            "country_code": "US",
            "telephone_number": "734-763-7919",
            "fax_number": "734-936-9298",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1020 Sansom St Ste 239",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191075002",
            "country_code": "US",
            "telephone_number": "215-955-6844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRZYWINSKI",
        "first_name": "MATTHEW",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-24",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "2036456",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD480180",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D0099548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.