Individual provider Active NPI

John Andrew Grant Jr., MD

  • Allergy & Immunology (Internal Medicine) Physician
  • Galveston, TX
National Provider Identifier
1700945342
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
E1324 Issued in TX
Practice address
301 University Blvd
John Sealy Annex 5.112
Galveston, TX 77555-0561
Phone
(409) 772-2436
Fax
(409) 772-9532
NPI assigned
Dec 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) Physician 207RA0201X 49177 CO
Allergy & Immunology (Internal Medicine) Physician 207RA0201X E1324 TX Primary
Clinical & Laboratory Immunology (Allergy & Immunology) Physician 207KI0005X E1324 TX

Addresses

Primary practice location

301 University Blvd
John Sealy Annex 5.112
Galveston, TX 77555-0561

Mailing address

301 University Blvd
John Sealy Annex 5.112
Galveston, TX 77555-0561
Phone (409) 772-2436

Other identifiers 2

IdentifierTypeStateIssuer
117162102MedicaidTX
67226051MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100525000321 TX Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 5294864559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
78.88 of 100Reported as group
Quality
73.38
Improvement activities
40
Cost
78.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49177COMDAllergy & Immunology (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Utmb Faculty Group Practice CurrentSince Jan 1, 1975 Accepting new patients

Locations

301 University Blvd
Fl 6
Galveston, TX 77555

301 University Blvd
#5112
Galveston, TX 77555
Phone (409) 772-2436

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

2240 Gulf Fwy S
Ste 3704
League City, TX 77573
Phone (832) 505-1234

Interoperability endpoints

  • Direct secure messaging: jgrantmd6970@direct.utmb.edu

Organizations & group practices 1

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389225600000",
    "number": "1700945342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "address_2": "JOHN SEALY ANNEX 5.112",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550561",
            "telephone_number": "409-772-2436",
            "fax_number": "409-772-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "address_2": "JOHN SEALY ANNEX 5.112",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550561",
            "telephone_number": "409-772-2436",
            "fax_number": "409-772-9532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "JOHN",
        "middle_name": "ANDREW",
        "name_prefix": "Prof.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2014-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "CO",
            "license": "49177",
            "primary": false
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "TX",
            "license": "E1324",
            "primary": true
        },
        {
            "code": "207KI0005X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": "TX",
            "license": "E1324",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117162102",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "67226051",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

Verify at the official NPI Registry.