Individual provider Active NPI

Loretta Grumbles, MD

  • Internal Medicine Physician
  • Galveston, TX
National Provider Identifier
1760541304
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L0227 Issued in TX
Practice address
1908 Post Office St
Galveston, TX 77550-2008
Phone
(409) 682-3863
Fax
(713) 583-1053
NPI assigned
Dec 8, 2006
Last updated
Apr 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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 L0227 TX Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X L0227 TX
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X L0227 TX

Addresses

Primary practice location

1908 Post Office St
Galveston, TX 77550-2008

Mailing address

PO Box 2283
Sugar Land, TX 77487-2283
Phone (281) 773-6631

Other practice location 1

4700 Broadway St Ste F100
Galveston, TX 77551-4208
Phone (409) 938-2234

Other practice location 2

9850C Emmett F Lowry Expy Ste C103
Texas City, TX 77591-2122
Phone (409) 938-2234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20051012001198 TX Practitioner - Geriatric MedicinePractitioner - Hospice/Palliative CarePractitioner - Internal Medicine 6709801319 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Hospice/Palliative Care, Internal Medicine
Education
University of Texas Medical Branch at Galveston, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Health and WellnessGroup PAC ID 0143215954, 12 clinicians

Practice addresses (Care Compare)

4700 Broadway St
Suite 100
Galveston, TX 77551-4241
Phone (409) 938-2234

9850 C Emmett F Lowry Expy
Suite C103
Texas City, TX 77591-2122
Phone (409) 938-2234

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L0227TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Health & Wellness CurrentSince Feb 16, 2023 Accepting new patients
Coastal Health & Wellness CurrentSince Feb 16, 2023 Accepting new patients
Coastal Health & Wellness Current Accepting new patients
Utmb Faculty Group Practice Internal Medicine CurrentSince Sep 1, 2001 Accepting new patients

Locations

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

4700 Broadway St
Ste 100
Galveston, TX 77551
Phone (409) 763-7204

4700 Broadway St
Ste F100
Galveston, TX 77551
Phone (409) 763-7273

1805 13th Ave N
Texas City, TX 77590
Phone (409) 916-0512

9850 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-2230

9850 Emmett F Lowry Expy
Ste C103
Texas City, TX 77591
Phone (409) 938-2234

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: lgrumbles@gghvpp-tx.direct.office.nextgen.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1760541304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2283",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774872283",
            "telephone_number": "281-773-6631",
            "fax_number": "713-583-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 POST OFFICE ST",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775502008",
            "telephone_number": "409-682-3863",
            "fax_number": "713-583-1053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Broadway St Ste F100",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "775514208",
            "country_code": "US",
            "telephone_number": "409-938-2234",
            "fax_number": "409-938-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9850C Emmett F Lowry Expy Ste C103",
            "address_purpose": "LOCATION",
            "city": "Texas City",
            "state": "TX",
            "postal_code": "775912122",
            "country_code": "US",
            "telephone_number": "409-938-2234",
            "fax_number": "409-938-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUMBLES",
        "first_name": "LORETTA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L0227",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "L0227",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "TX",
            "license": "L0227",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

Verify at the official NPI Registry.