Individual provider Active NPI

Howard Alan Grossman, M.D.

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1710951694
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
76862 Issued in AZ
Practice address
52 E Monterey Way
Phoenix, AZ 85012-2628
Phone
(602) 604-9500
Fax
(602) 631-9303
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 22999 NV
Internal Medicine Physician 207R00000X 76862 AZ Primary
Internal Medicine Physician 207R00000X 162479 NY

Addresses

Primary practice location

52 E Monterey Way
Phoenix, AZ 85012-2628

Mailing address

52 E Monterey Way
Phoenix, AZ 85012-2628
Phone (602) 604-9500

Other identifiers 2

IdentifierTypeStateIssuer
162479OtherNYNEW YORK MEDICAL LICENSE
76862OtherAZARIZONA MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20250620000178 AZ Practitioner - Internal Medicine 4284795287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Medical Care CenterGroup PAC ID 9739590076, 8 clinicians

Practice addresses (Care Compare)

52 E Monterey Way
Phoenix, AZ 85012-2628
Phone (602) 604-9500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22999NVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gay and Lesbian Community Center of Southern Nevada Inc CurrentSince Jan 24, 2024 Accepting new patients
Midway Specialty Care Center Inc CurrentSince May 1, 2018 Accepting new patients
Spectrum Medical Care Center CurrentSince May 5, 2025 Accepting new patients
Gay and Lesbian Community Center of Southern Nevada Inc CurrentSince Jan 24, 2024 Accepting new patients
Howard Brown Health Center Past Accepting new patients
Howard Brown Health Center Past Accepting new patients
Medical Diagnostic Associates, PA Family Medicine PastSince Oct 26, 2014 Accepting new patients

Locations

52 E Monterey Way
Ste A
Phoenix, AZ 85012
Phone (480) 930-4353

52 E Monterey Way
Phoenix, AZ 85012
Phone (602) 264-7273

356 E Midway Rd
Fort Pierce, FL 34982
Phone (772) 464-9746

2500 NW 15th Ct
Wilton Manors, FL 33311
Phone (772) 742-9276

2608 NE 16th Ave
Wilton Manors, FL 33334
Phone (954) 463-3036

401 S Maryland Pkwy
Las Vegas, NV 89101
Phone (702) 733-9800

Organizations & group practices 7

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1710951694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 E MONTEREY WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122628",
            "telephone_number": "602-604-9500",
            "fax_number": "602-631-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 E MONTEREY WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122628",
            "telephone_number": "602-604-9500",
            "fax_number": "602-631-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "HOWARD",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "22999",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "76862",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "162479",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK MEDICAL LICENSE",
            "identifier": "162479",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA MEDICAL LICENSE",
            "identifier": "76862",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.