Individual provider Active NPI

Kathryn Grinnen, DO

  • Internal Medicine Physician
  • Lewes, DE
National Provider Identifier
1710102124
Registry record updated Feb 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C2-0009051 Issued in DE
Practice address
16295 Willow Creek Rd
Lewes, DE 19958-3614
Phone
(302) 645-3555
NPI assigned
Apr 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C2-0009051 DE Primary
Internal Medicine Physician 207R00000X 58002204 OH

Addresses

Primary practice location

16295 Willow Creek Rd
Lewes, DE 19958-3614

Mailing address

15012 Oyster Shell Dr
Milton, DE 19968-3795
Phone (302) 703-2563

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20090904000452 DE Practitioner - Internal MedicinePractitioner - Osteopathic Manipulative Medicine 9133274624 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Core Concierge Primary Care and Wellness LLCGroup PAC ID 8527412899, 3 clinicians

Practice addresses (Care Compare)

19330 Lighthouse Plaza Blvd
Unit 1
Rehoboth Beach, DE 19971-6161
Phone (302) 585-8555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.71 of 100Reported as individual
Quality
98.96
Promoting interoperability
96
Improvement activities
40
Cost
66.73

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58002204OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Core Concierge Primary Care and Wellness LLC Internal Medicine CurrentSince Aug 28, 2023 Accepting new patients
Beebe Physician Network Inc. Internal Medicine CurrentSince Aug 31, 2009 Accepting new patients

Locations

1515 Savannah Rd
Lewes, DE 19958

1305 Savannah Rd
Ste 1
Lewes, DE 19958
Phone (302) 645-2281

16295 Willow Creek Rd
Lewes, DE 19958
Phone (302) 503-4200

32550 Docs Pl
Unit 2
Millville, DE 19967
Phone (302) 539-4302

19330 Lighthouse Plaza Blvd
Unit 1
Rehoboth Beach, DE 19971
Phone (302) 585-8555

Interoperability endpoints

  • Direct secure messaging: kathryn.grinnen.1@29250.direct.athenahealth.com
  • Direct secure messaging: kgrinnen22726@beebehealth.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297296000000",
    "number": "1710102124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15012 OYSTER SHELL DR",
            "city": "MILTON",
            "state": "DE",
            "postal_code": "199683795",
            "telephone_number": "302-703-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16295 WILLOW CREEK RD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199583614",
            "telephone_number": "302-645-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINNEN",
        "first_name": "KATHRYN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2011-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C2-0009051",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "58002204",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

Verify at the official NPI Registry.