Individual provider Active NPI

Kuljinder Singh Grewal, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • La Mesa, CA
National Provider Identifier
1700807393
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
A34108 Issued in CA
Practice address
8881 Fletcher Parkway
Suite 104
La Mesa, CA 91942-3131
Phone
(619) 644-1400
Fax
(619) 644-1422
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X A34108 CA Primary
Ophthalmology Physician 207W00000X A34108 CA

Addresses

Primary practice location

8881 Fletcher Parkway
Suite 104
La Mesa, CA 91942-3131

Mailing address

8881 Fletcher Parkway
Suite 104
La Mesa, CA 91942-3131
Phone (619) 644-1400

Other identifiers 1

IdentifierTypeStateIssuer
00A341080MedicaidCA

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
I20100623000803 CA Practitioner - OphthalmologyPractitioner - Other (Physician) 2163553934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8881 Fletcher Pkwy
Suite 104
La Mesa, CA 91942-3131
Phone (619) 644-1400

Merit-based Incentive Payment System (MIPS)

Final score
97.58 of 100Reported as individual
Quality
95.16
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A34108CAMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kuljinder S Grewal M D P C Ophthalmology CurrentSince Oct 17, 1985 Accepting new patients
Sharp Memorial Hospital Past Accepting new patients
Grossmont Hospital Corporation Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients

Locations

534 S 8th St
El Centro, CA 92243
Phone (760) 352-4361

8881 Fletcher Pkwy
Ste 104
La Mesa, CA 91942
Phone (619) 442-0999

Interoperability endpoints

  • Direct secure messaging: kuljindergrewalmd@drgrewal.direct.eyemdemr.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1700807393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8881 FLETCHER PARKWAY",
            "address_2": "SUITE 104",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423131",
            "telephone_number": "619-644-1400",
            "fax_number": "619-644-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8881 FLETCHER PARKWAY",
            "address_2": "SUITE 104",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423131",
            "telephone_number": "619-644-1400",
            "fax_number": "619-644-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREWAL",
        "first_name": "KULJINDER",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CA",
            "license": "A34108",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A34108",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A341080",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.