Marshall Salvatore Grillo Jr., DO

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

OS20499 Issued in FL

Practice address

600 Health Park Blvd
Ste G
Grand Blanc, MI 48439-2558

Phone

(810) 606-1660

Fax

(810) 606-1655

NPI assigned

Jul 11, 2006

Last updated

Sep 5, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 7

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in MI, MO, FL, AZ, IL5 enrollments

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 5

Specialty

Vascular SurgeryAlso: General Surgery

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health First Medical Group, LLCGroup PAC ID 7416100672, 701 clinicians

Mymichigan Medical Center MidlandGroup PAC ID 2264323633, shared by 8 NPIs, 507 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019
• Viera Hospital Hospital, Melbourne, FL, CCN 100315

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EECCDD
• Direct secure messaging: mgrillo158821@epicdirect.hf.org
• Direct secure messaging: mgrillo542275@direct-ehr-ssmhc.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Health First Medical Group, LLC

  • General Practice Physician
  • Melbourne, FL
  • NPI 1750626495

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Integrated Vascular Vein Center of Michigan PC

  • Vascular Surgery Physician
  • Grand Blanc, MI
  • NPI 1760900138
  Medicare reassignment NPD
• Vascular Health Clinics PLLC

  dba Vascular Health Clinics

  • Vascular Surgery Physician
  • Midland, MI
  • NPI 1003298340
  Medicare reassignment NPD
• W. a. Foote Memorial Hospital, Inc

  dba Allegiance Health

  • Internal Medicine Physician
  • Jackson, MI
  • NPI 1760437826
  Medicare reassignment NPD
• District Medical Group, Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Phoenix, AZ
  • NPI 1336472448
  Medicare reassignment NPD
• St. Louis Vascular Surgical Specialists PC

  dba St. Louis Limb Preservation Center

  • Vascular Surgery Physician
  • Lake St Louis, MO
  • NPI 1477246312

  IL

  Medicare reassignment NPD
• Jose L Raygada MD PLLC

  dba Raygada Synergistic Health Institute

  • Infectious Disease Physician
  • Mt Pleasant, MI
  • NPI 1730563875
  NPD
• W.a. Foote Memorial Hospital, Inc

  dba Henry Ford Allegiance Health

  • Physician Assistant
  • Jackson, MI
  • NPI 1538606348
  NPD
• District Medical Group, Inc

  • Emergency Medicine Physician
  • Phoenix, AZ
  • NPI 1144624339
  NPD
• Health First Medical Group, LLC

  • General Practice Physician
  • Rockledge, FL
  • NPI 1073268934
  NPD
• St Clair Specialty Physicians PC

  dba St. Clair Nephrology, Idaho Nephrology Associates

  • Nephrology Physician
  • Roseville, MI
  • NPI 1154361616

  Vascular Surgery

  NPD (past)
• Morristown Clinic Corp

  • Internal Medicine Physician
  • Morristown, TN
  • NPI 1700990959

  Family Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Holmes Regional Medical Center, Inc.

  dba First Flight

  • Air Ambulance
  • Melbourne, FL
  • NPI 1235312281

  Hospital

  Care Compare affiliation
• Holmes Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Melbourne, FL
  • NPI 1295702728
  Care Compare affiliation
• Viera Hospital Inc

  • General Acute Care Hospital
  • Melbourne, FL
  • NPI 1730494816
  Care Compare affiliation

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1730114448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HEALTH PARK BLVD STE G",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392558",
            "telephone_number": "810-606-1660",
            "fax_number": "810-606-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HEALTH PARK BLVD",
            "address_2": "STE G",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392558",
            "telephone_number": "810-606-1660",
            "fax_number": "810-606-1655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2270 S Ridgeview Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853648880",
            "country_code": "US",
            "telephone_number": "928-344-5055",
            "fax_number": "928-336-6290",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1223 Gateway Dr",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329012607",
            "country_code": "US",
            "telephone_number": "321-549-0815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "699 W Cocoa Beach Cswy",
            "address_purpose": "LOCATION",
            "city": "Cocoa Beach",
            "state": "FL",
            "postal_code": "329313577",
            "country_code": "US",
            "telephone_number": "321-549-0815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRILLO",
        "first_name": "MARSHALL",
        "middle_name": "SALVATORE",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "OS20499",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TN",
            "license": "2205",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "VA",
            "license": "0102203257",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AZ",
            "license": "011005",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "KY",
            "license": "TP053",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MI",
            "license": "5101011025",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "OS010217L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1ST PRIORITY HEALTHCARE",
            "identifier": "821942",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HFMG",
            "identifier": "V0803",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730114448",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017202200012",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000566339",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS HIGHMARK",
            "identifier": "176254",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dianne E Gregory, M.D.
• Scott Greib, MD
• Savleen Grewal
• Allanah Griffin
• Alyssa Karlene Griffith, MD
• Elizabeth Grimshaw, LMSW
• Michelle Grzegorzewski, RN
• Gualdoni Therapeutic & Consultative Services LLC
• Laura Kay Gualdoni
• Rachel Leigh Guerra, APRON

• Vascular Surgery Physician in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Vascular Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.

Verify at the official NPI Registry.