Individual provider Active NPI

Gregory James Grabowski, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bellevue, WA
National Provider Identifier
1649335019
Registry record updated Jan 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO00000825 Issued in WA
Practice address
11711 NE 12TH St
Suite 1-B
Bellevue, WA 98005-2461
Phone
(425) 453-1598
Fax
(425) 450-0029
NPI assigned
Dec 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO00000825 WA Primary

Addresses

Primary practice location

11711 NE 12TH St
Suite 1-B
Bellevue, WA 98005-2461

Mailing address

11711 NE 12TH St
Suite 1-B
Bellevue, WA 98005-2461
Phone (425) 453-1598

Other identifiers 3

IdentifierTypeStateIssuer
8494890MedicaidWA
756480615OtherWARAILROAD MEDICARE
0227707OtherWAL&I INSURANCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071022000431 WA Practitioner - Podiatry 5890762157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Grabowski PCGroup PAC ID 0345337630, 3 clinicians

Practice addresses (Care Compare)

1101 Madison St
Suite 1120
Seattle, WA 98104-3558
Phone (206) 447-0302

11711 NE 12TH St
1B
Bellevue, WA 98005-2461
Phone (425) 453-1598

Hospital & facility affiliations

  • Swedish Issaquah Hospital, Issaquah, WA, CCN 500152
  • Swedish Medical Center Hospital, Seattle, WA, CCN 500027
  • Overlake Hospital Medical Center & Clinics Hospital, Bellevue, WA, CCN 500051

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
68.21
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue89
Removal of skin lesions22
Removal of nail tissue210
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
PO00000825WAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Grabowski PC Foot & Ankle Surgery CurrentSince Sep 1, 2007 Accepting new patients
Dr Grabowski PC Foot & Ankle Surgery CurrentSince May 17, 2007 Accepting new patients
Dr Grabowski PC Foot & Ankle Surgery Current Accepting new patients
Eastside Medical Group, LLC Past Accepting new patients

Locations

11711 NE 12th St
Ste 1B
Bellevue, WA 98005
Phone (425) 453-1598

1301 4th Ave NW
Ste 200
Issaquah, WA 98027
Phone (425) 606-1359

1101 Madison St
Ste 1120
Seattle, WA 98104
Phone (206) 447-0302

Interoperability endpoints

  • Direct secure messaging: gregory.grabowski@dgp-wa.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233100800000",
    "number": "1649335019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11711 NE 12TH ST",
            "address_2": "SUITE 1-B",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052461",
            "telephone_number": "425-453-1598",
            "fax_number": "425-450-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11711 NE 12TH ST",
            "address_2": "SUITE 1-B",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052461",
            "telephone_number": "425-453-1598",
            "fax_number": "425-450-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABOWSKI",
        "first_name": "GREGORY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2009-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO00000825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8494890",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "756480615",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I INSURANCE",
            "identifier": "0227707",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.