Active NPI
David Grace, MD
- Internal Medicine Physician
- Palmetto, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME42435
- Practice address
- 506 4TH Ave W
Palmetto, FL 34221-5203 - Phone
- (941) 933-8108
- Fax
- (941) 933-8109
- NPI assigned
- Sep 19, 2005
- Last updated
- Aug 25, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME42435 | FL | Primary |
Addresses
Primary practice location
506 4TH Ave W
Palmetto, FL 34221-5203
Mailing address
2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5266 Office Park Blvd
Suite 205
Bradenton, FL 34203-3442
Phone (941) 202-3888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME42435 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Provider Partners Care Management LP | Current | Accepting new patients | |
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Altea Medical Florida PLLC | Internal Medicine | Current | Accepting new patients |
| Associated Family Physicians of Boca Raton, P.L. | Current | Accepting new patients | |
| Post Acute Medical PLLC | Internal Medicine | Current | Accepting new patients |
| Millennium Physician Group LLC | Internal Medicine | Current | Accepting new patients |
| Associated Family Physicians of Boca Raton, P.L. | Current | Accepting new patients | |
| Pinnacle Medical Group PA | Internal Medicine | Past | Accepting new patients |
| Pinnacle Physician Network, LLC | Past | Accepting new patients |
Locations
400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297
400 E Rivulon Blvd
Ste 301
Gilbert, AZ 85297
7225 Boca del Mar Dr
Boca Raton, FL 33433
Phone (561) 362-9644
9910 Sandalfoot Blvd
Ste 1
Boca Raton, FL 33428
Phone (561) 883-3030
5266 Office Park Blvd
Ste 205
Bradenton, FL 34203
Phone (941) 202-3888
1104 N Main St
Bushnell, FL 33513
Phone (352) 568-8777
549 Sky Harbor Dr
Bldg 31
Clearwater, FL 33759
Phone (727) 724-6800
1851 Elkcam Blvd
Deltona, FL 32725
Phone (386) 789-3769
2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700
1010 Carpenters Way
Lakeland, FL 33809
Phone (813) 505-8889
991 Pondella Rd
North Ft Myers, FL 33903
Phone (239) 994-8809
190 NE 191st St
North Miami Beach, FL 33179
Phone (305) 651-9690
506 4th Ave W
Palmetto, FL 34221
Phone (941) 729-1800
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
16200 S Jog Rd
West Delray Beach, FL 33446
Phone (561) 362-9644
8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61456
Organizations & group practices 9
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.
-
dba Associated Family Physicians of Florida
- Family Medicine Physician
- Boca Raton, FL
- NPI 1942285770
-
- Geriatric Medicine (Internal Medicine) Physician
- Saint Cloud, FL
- NPI 1083493860
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
Internal Medicine
-
- Geriatric Medicine (Internal Medicine) Physician
- Lanham, MD
- NPI 1730713025
FL
-
dba Associated Family Physicians of Florida
- General Practice Physician
- Bradenton, FL
- NPI 1265235352
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
-
- Family Medicine Physician
- Bradenton, FL
- NPI 1457657934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598313600000",
"number": "1740275577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 WINKLER AVE FL 2",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019342",
"telephone_number": "877-856-3774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 4TH AVE W",
"city": "PALMETTO",
"state": "FL",
"postal_code": "342215203",
"telephone_number": "941-933-8108",
"fax_number": "941-933-8109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRACE",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-19",
"last_updated": "2020-08-25",
"certification_date": "2020-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME42435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palmetto, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.