Joseph Grillo, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

PO 2106 Issued in FL

Practice address

14391 Metropolis Ave
Suite 104
Fort Myers, FL 33912-4421

Phone

(239) 931-3668

Fax

(239) 333-0746

NPI assigned

Aug 1, 2005

Reactivated

Dec 15, 2020

Last updated

Dec 15, 2020By 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 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jgrillo@grillo.sammyehrdirect.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.

• Joseph Grillo DPM PA

  • Foot Surgery Podiatrist
  • Fort Myers, FL
  • NPI 1689940793
  Medicare reassignment NPD Authorized official
• Howard M Imanuel DPM PA

  dba The Podiatry Center

  • Podiatrist
  • Fort Myers, FL
  • NPI 1073536207

  Foot Surgery

  NPD

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

• Lee Health System Inc

  dba Cape Coral Hospital

  • General Acute Care Hospital
  • Cape Coral, FL
  • NPI 1780429076
  Care Compare affiliation

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1760483796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14391 METROPOLIS AVE",
            "address_2": "SUITE 104",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124421",
            "telephone_number": "239-931-3668",
            "fax_number": "239-333-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14391 METROPOLIS AVE",
            "address_2": "SUITE 104",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124421",
            "telephone_number": "239-931-3668",
            "fax_number": "239-333-0746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRILLO",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-01",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "deactivation_date": "2020-12-10",
        "reactivation_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO 2106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "053040900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whitney Griffith
• Darlajean Marie Griffiths, L.M.T
• Michael David Griffiths, OTR
• Sarah Rebekah Grigg, MT-BC
• Ivan Everette Griggs, PHARM.D.
• Gregory James Grimes, DNAP, CRNA, APRN
• Holly Lynn Grimes, APRN
• Lauren Grimes, PHARMD
• Anne Marie Grimmer
• Mary Lisa Grimmer

• Foot Surgery Podiatrist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Foot Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.

Verify at the official NPI Registry.