Michael S Grady, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

MD067853L Issued in PA

Practice address

3400 Spruce St
3 Silverstein Building
Philadelphia, PA 19104-4206

Phone

(215) 349-8325

Fax

(215) 349-5108

NPI assigned

Jun 27, 2006

Last updated

Jun 8, 2023By 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 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA, NJ, OH3 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 3

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• University of Penn-Medical Group

  • Gynecologic Oncology Physician
  • Philadelphia, PA
  • NPI 1235527342
  Medicare reassignment NPD
• Clinical Health Care Associates of New Jersey, PC

  • Pulmonary Disease Physician
  • Cherry Hill, NJ
  • NPI 1508019241

  Neurological Surgery

  Medicare reassignment NPD
• Partners Physician Group

  • Surgery Physician
  • Akron, OH
  • NPI 1841239274
  Medicare reassignment NPD
• University of Penn-Medical Group

  • Clinical Medical Laboratory
  • Philadelphia, PA
  • NPI 1184012569
  NPD
• University of Penn-Medical Group

  • Surgical Oncology Physician
  • Philadelphia, PA
  • NPI 1871981985
  NPD
• Clinical Health Care Associates of New Jersey, P.C.

  • Family Medicine Physician
  • Cherry Hill, NJ
  • NPI 1447260435
  NPD
• Clinical Health Care Associates of New Jersey, PC

  • Physical Medicine & Rehabilitation Physician
  • Cherry Hill, NJ
  • NPI 1427407709
  NPD
• Partners Physician Group

  dba Community Access and Wellness - HWE

  • Public Health & General Preventive Medicine Physician
  • Akron, OH
  • NPI 1164814414
  NPD

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1750318689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE STREET",
            "address_2": "3 SILVERSTEIN BUILDING",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044206",
            "telephone_number": "215-349-8325",
            "fax_number": "215-349-5108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "address_2": "3 SILVERSTEIN BUILDING",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044206",
            "telephone_number": "215-349-8325",
            "fax_number": "215-349-5108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1865 Route 70 E Ste 220",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080032005",
            "country_code": "US",
            "telephone_number": "609-832-5060",
            "fax_number": "609-261-7127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRADY",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NJ",
            "license": "25MA10724400",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OH",
            "license": "35.147099",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "MD067853L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017469420001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Graduate Vascular and Endovascular Associates, LLC
• Bridget Grady, PHARMD
• Brittany Grady, MS, OTR/L, CHES
• Katerina Grady, LPC
• Matthew F Grady, MD
• Rochelle Denise Grady, DA IN MFT
• Rosheen Mary Grady, M.D.
• Abigail Graeber, CRNP
• Katelyn Anne Graff
• Stephanie Graff

• Neurological Surgery Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Neurological Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.