NPIMap

Individual provider Active NPI

Gagandeep Singh Grewal

  • Endocrinology, Diabetes & Metabolism Physician
  • Meadville, PA
National Provider Identifier
1629455340
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD469454 Issued in PA
Practice address
765 Liberty St Ste 307-a
Meadville, PA 16335-2566
Phone
(814) 373-4270
Fax
(814) 373-4273
NPI assigned
May 1, 2015
Reactivated
Jul 20, 2016
Last updated
Aug 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD469454 PA Primary

Addresses

Primary practice location

765 Liberty St Ste 307-a
Meadville, PA 16335-2566

Mailing address

1034 Grove St
Meadville, PA 16335-2945
Phone (814) 373-4270

Other practice location 1

18201 Conneaut Lake Rd
Meadville, PA 16335-3757
Phone (814) 373-4270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200722002780 PA Practitioner - Endocrinology 4789929100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meadville Medical CenterGroup PAC ID 4284535790, 139 clinicians

Practice addresses (Care Compare)

18201 Conneaut Lake Rd
Meadville, PA 16335-3757
Phone (814) 333-5060

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Meadville Medical Center Endocrinology, Diabetes & Metabolism Current Accepting new patients
Meadville Medical Center CurrentSince Sep 1, 2023 Accepting new patients
Meadville Medical Center CurrentSince Sep 1, 2023 Accepting new patients
Meadville Medical Center Past Accepting new patients
Primary Care Services Past Accepting new patients

Locations

1034 Grove St
Meadville, PA 16335
Phone (814) 333-5728

18201 Conneaut Lake Rd
Meadville, PA 16335
Phone (814) 333-5060

751 Liberty St
Meadville, PA 16335
Phone (814) 333-5081

765 Liberty St
Ste 105
Meadville, PA 16335
Phone (814) 373-2310

765 Liberty St
Ste 307A
Meadville, PA 16335
Phone (814) 333-3945

Interoperability endpoints

  • Direct secure messaging: gagandeep.grewal@directaddress.net

Organizations & group practices 5

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 7

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": "1430438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1629455340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 GROVE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352945",
            "telephone_number": "814-373-4270",
            "fax_number": "814-373-4273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 LIBERTY ST STE 307-A",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352566",
            "telephone_number": "814-373-4270",
            "fax_number": "814-373-4273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18201 Conneaut Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Meadville",
            "state": "PA",
            "postal_code": "163353757",
            "country_code": "US",
            "telephone_number": "814-373-4270",
            "fax_number": "814-373-4273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREWAL",
        "first_name": "GAGANDEEP",
        "middle_name": "SINGH",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-01",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "deactivation_date": "2015-12-09",
        "reactivation_date": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MD469454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

Verify at the official NPI Registry.