Individual provider Active NPI

Eduard Grass Garcia, MD

  • Surgery Physician
  • Red Oak, IA
National Provider Identifier
1679729479
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
37900 Issued in IA
Practice address
1400 Senate Ave
Suite 103
Red Oak, IA 51566-1271
Phone
(712) 623-7240
Fax
(712) 623-1654
NPI assigned
Aug 12, 2008
Last updated
Nov 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 37900 IA Primary

Addresses

Primary practice location

1400 Senate Ave
Suite 103
Red Oak, IA 51566-1271

Mailing address

PO Box 498
Red Oak, IA 51566-0498
Phone (712) 623-7240

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MCEGrass@mcmh.cernerdirect.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20080924000405 IA Practitioner - General Surgery 0941377576 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montgomery County Memorial HospitalGroup PAC ID 9032015805, shared by 7 NPIs, 43 clinicians

Practice addresses (Care Compare)

1400 Senate Ave
102 Women's Health Clinic
Red Oak, IA 51566-1271
Phone (712) 623-6335

1600 E Summit St
Red Oak Healthcare Community
Red Oak, IA 51566-1709
Phone (712) 623-5156

201 Alix Ave
Red Oak, IA 51566-1002
Phone (712) 623-3170

2301 Eastern Ave
Red Oak, IA 51566-1300
Phone (712) 623-7000

800 E Ratliff Rd
Arlington Place of Red Oak
Red Oak, IA 51566-5102
Phone (712) 623-1999

PO Box
Suite 498
Red Oak, IA 51566

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37900IAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery County Memorial Hospital Surgery CurrentSince Aug 11, 2008 Accepting new patients
Montgomery County Memorial Hospital Current Accepting new patients
Montgomery County Memorial Hospital CurrentSince Aug 11, 2008 Accepting new patients
Montgomery County Memorial Hospital PastSince Dec 13, 2022 Accepting new patients

Locations

1400 Senate Ave
Ste 103
Red Oak, IA 51566
Phone (712) 623-7240

2301 Eastern Ave
Red Oak, IA 51566
Phone (712) 623-7270

Interoperability endpoints

  • Direct secure messaging: egrassgarcia117376@uihcdirect.org
  • Direct secure messaging: mcegrass@mcmh.cernerdirect.com

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, 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": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1679729479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 498",
            "city": "RED OAK",
            "state": "IA",
            "postal_code": "515660498",
            "telephone_number": "712-623-7240",
            "fax_number": "712-623-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 SENATE AVE",
            "address_2": "SUITE 103",
            "city": "RED OAK",
            "state": "IA",
            "postal_code": "515661271",
            "telephone_number": "712-623-7240",
            "fax_number": "712-623-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRASS GARCIA",
        "first_name": "EDUARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-12",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IA",
            "license": "37900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MCEGrass@mcmh.cernerdirect.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1400 Senate Ave",
            "address_2": "Suite 103",
            "city": "Red Oak",
            "state": "IA",
            "country_code": "US",
            "postal_code": "515661271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Red Oak, IA

Sources for this page

Verify at the official NPI Registry.