Active NPI
John Andrew Grant Jr., MD
- Allergy & Immunology (Internal Medicine) Physician
- Galveston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology (Internal Medicine) Physician
- License
- E1324
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117162102 | Medicaid | TX | |
| 67226051 | Medicaid | CO |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100525000321 | TX | Practitioner - Allergy/Immunology | 5294864559 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 78.88 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 49177 | CO | MD | Allergy & Immunology (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utmb Faculty Group Practice | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.