Active NPI
Matthew Frank Grzywinski, MD
- Emergency Medicine Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- D0099548
- Practice address
- 301 Saint Paul St
Baltimore, MD 21202 - Phone
- (410) 332-9477
- NPI assigned
- May 24, 2019
- Last updated
- Jul 30, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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, MD
- 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
- Emergency Medicine
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| D0099548 | MD | MD | Emergency Medicine Physician |
| MD480180 | PA | MD | Emergency Medicine Physician |
| 2036456 | MI | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Emergency Medicine Associates, PA | Emergency Medicine | Current | Accepting new patients |
| Jefferson University Physicians | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians SPPS | Emergency Medicine | Current | 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
- 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.
-
- Emergency Medicine Physician
- Baltimore, MD
- NPI 1760885958
-
- Emergency Medicine Physician
- Baltimore, MD
- NPI 1144271743
-
- General Practice Physician
- Philadelphia, PA
- NPI 1326093675
Emergency Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1144282583
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.