NPIMap

Individual provider Active NPI

Samuel L Grasso, D.O.

  • Surgery Physician
  • Fort Bragg, NC
National Provider Identifier
1689026437
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2024-0018 Issued in NC
Practice address
2817 Rock Merritt Ave Womack Army Medical Center
Fort Bragg, NC 28310-5001
Phone
(515) 975-5623
NPI assigned
Jul 5, 2016
Last updated
Sep 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X T8214 TX
Surgery Physician 208600000X 2024-0018 NC Primary

Addresses

Primary practice location

2817 Rock Merritt Ave Womack Army Medical Center
Fort Bragg, NC 28310-5001

Mailing address

2817 Rock Merritt Ave Womack Army Medical Center
Fort Bragg, NC 28310-0001
Phone (515) 975-5623

Other practice location 1

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 323-2626

Other practice location 2

1841 Quiet Cv
Fayetteville, NC 28304-3985
Phone (910) 323-2626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IA, NC3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230427003124 TX Practitioner - General Surgery 9032574926 Reassigns benefits to 1 organization
I20230502003227 IA Practitioner - General Surgery 9032574926 Reassigns benefits to 2 organizations
I20240522002245 NC Practitioner - General Surgery 9032574926 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scotland Memorial Hospital, IncGroup PAC ID 0648208504, 259 clinicians
Mercy Medical CenterGroup PAC ID 4183535271, 295 clinicians

Practice addresses (Care Compare)

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 323-2626

1841 Quiet CV
Fayetteville, NC 28304-3985
Phone (910) 323-2626

500 Lauchwood Dr
Laurinburg, NC 28352-5501
Phone (910) 610-4172

701 10TH St SE
Cedar Rapids, IA 52403-1251

701 10TH St SE J Edward Lundy
Mercy Pediatric Clinic
Cedar Rapids, IA 52403-1251
Phone (319) 832-2328

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
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 Osteopathy

State licenses

LicenseStateTypeSpecialty
2024-0018NCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scotland Memorial Hospital Inc Surgery CurrentSince Jul 1, 2024 Accepting new patients
Mercy Medical Center CurrentSince Apr 1, 2023 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Sep 3, 2024 Accepting new patients
Acute Care Surgical Affiliates of Texas PA Surgery CurrentSince Apr 1, 2023 Accepting new patients
Nebraska Methodist Hospital Current Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Jul 1, 2024 Accepting new patients
Cape Fear Valley Health Medical Group LLC CurrentSince Oct 15, 2025 Accepting new patients
Mercy Medical Center CurrentSince Apr 1, 2023 Accepting new patients
Mercy Medical Center Current Accepting new patients
Cape Fear Valley Health Medical Group LLC CurrentSince Oct 15, 2025 Accepting new patients
Sampson Regional Professional Services LLC Current Accepting new patients
Sampson Regional Professional Services, LLC Surgery CurrentSince Apr 24, 2025 Accepting new patients
Council Bluffs Surgical Associates, P.C. CurrentSince Aug 1, 2023 Accepting new patients
Physicians Clinic Inc Surgery CurrentSince Aug 1, 2023 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Cumberland County Hospital System Inc CurrentSince Sep 3, 2024 Accepting new patients
Cumberland County Hospital System Inc Past Accepting new patients

Locations

701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011

788 8th Ave SE
Ste 300
Cedar Rapids, IA 52401
Phone (319) 369-4542

1 Edmundson Pl
Council Bluffs, IA 51503
Phone (712) 396-4000

201 Ridge St
Ste 214
Council Bluffs, IA 51503
Phone (712) 328-2616

607 Beaman St
Clinton, NC 28328
Phone (910) 590-8729

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

1841 Quiet Cv
Fayetteville, NC 28304
Phone (910) 323-2626

4140 Ferncreek Dr
Ste 801
Fayetteville, NC 28314
Phone (910) 484-2171

205 Lauchwood Dr
Laurinburg, NC 28352
Phone (910) 276-4410

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

3270 Joe Battle Blvd
Ste 360
El Paso, TX 79938
Phone (915) 538-4400

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0b85a188-4e79-4276-b029-bbb0ec6e4802/
  • Direct secure messaging: samuel.grasso@direct.nmhs.org
  • Direct secure messaging: sgrasso127812@capefearvalley.direct-ci.com
  • Direct secure messaging: sgrasso277777@uihcdirect.org
  • Direct secure messaging: sgrasso2893547@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1689026437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283100001",
            "telephone_number": "515-975-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283105001",
            "telephone_number": "515-975-5623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1638 Owen Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043424",
            "country_code": "US",
            "telephone_number": "910-323-2626",
            "fax_number": "910-484-7962",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1841 Quiet Cv",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043985",
            "country_code": "US",
            "telephone_number": "910-323-2626",
            "fax_number": "910-484-7962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRASSO",
        "first_name": "SAMUEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-05",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "T8214",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2024-0018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Bragg, NC

Sources for this page

Verify at the official NPI Registry.