Individual provider Active NPI

Ajita Grewal, M.D.

  • Ophthalmology Physician
  • Los Altos, CA
National Provider Identifier
1669491486
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A061389 Issued in CA
Practice address
762 Altos Oaks Dr
Los Altos, CA 94024-5434
Phone
(650) 948-9123
Fax
(650) 948-0563
NPI assigned
Jul 19, 2006
Last updated
Jun 9, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A061389 CA Primary

Addresses

Primary practice location

762 Altos Oaks Dr
Los Altos, CA 94024-5434

Mailing address

762 Altos Oaks Dr
Los Altos, CA 94024-5434
Phone (650) 948-9123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090721000787 CA Practitioner - Ophthalmology 5991857906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Duke University School of Medicine, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

762 Altos Oaks Dr
Suite 1
Los Altos, CA 94024-5435
Phone (650) 948-9123

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A061389CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ajita Grewal MD Inc Ophthalmology CurrentSince Apr 30, 2009 Accepting new patients
El Camino Hospital Past Accepting new patients

Locations

762 Altos Oaks Dr
Los Altos, CA 94024
Phone (650) 948-9123

762 Altos Oaks Dr
Ste 1
Los Altos, CA 94024
Phone (650) 948-6506

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1669491486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "762 ALTOS OAKS DR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940245434",
            "telephone_number": "650-948-9123",
            "fax_number": "650-948-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 ALTOS OAKS DR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940245434",
            "telephone_number": "650-948-9123",
            "fax_number": "650-948-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREWAL",
        "first_name": "AJITA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A061389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

Verify at the official NPI Registry.