Individual provider Active NPI

Marc Philip Gruner, D.O.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • McLean, VA
National Provider Identifier
1760877492
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
65424 Issued in MN
Practice address
8401 Greensboro Dr Ste 120
MC Lean, VA 22102-5101
Phone
(571) 899-3590
Fax
(571) 378-1302
NPI assigned
Mar 31, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 65424 MN Primary

Addresses

Primary practice location

8401 Greensboro Dr Ste 120
MC Lean, VA 22102-5101

Mailing address

10215 Fernwood Rd Ste 506
Bethesda, MD 20817-1184
Phone (301) 350-1010

Other practice location 1

6608 River Trail Ct
Bethesda, MD 20817-4324
Phone (301) 793-9241

Other practice location 2

200 1st St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

Other practice location 3

10215 Fernwood Rd Ste 506
Bethesda, MD 20817-1184
Phone (301) 530-1010

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mgruner600222@ehrdirect.mayoclinicmsg.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20200818001278 DC Practitioner - Sports MedicinePractitioner - Internal Medicine 1456662162 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Internal Medicine
Education
Edward Via Col of Osteo Medicine-Virginia Campus, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bethesda Chevy Chase Orthopaedic Associates, LLCGroup PAC ID 4789631011, 138 clinicians

Practice addresses (Care Compare)

2021 K St NW
Suite 610
Washington, DC 20006-1058
Phone (301) 530-1010

6410 Rockledge Dr
Bethesda, MD 20817-1844

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bethesda Chevy Chase Orthopaedic Associates, LLC CurrentSince Sep 7, 2022 Accepting new patients
Bethesda Chevy Chase Orthopaedic Associates, LLC CurrentSince Sep 7, 2022 Accepting new patients
Mark D. Klaiman, M.D., L.C. Current Accepting new patients
Mark D. Klaiman, M.D., L.C. PT CurrentSince Aug 1, 2020 Accepting new patients
Privia Medical Group, LLC CurrentSince Sep 1, 2025 Accepting new patients
Gruner Medical Services, P.C. CurrentSince Jan 6, 2026 Accepting new patients
Privia Medical Group, LLC CurrentSince Sep 1, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2021 K St NW
Ste 610
Washington, DC 20006
Phone (240) 395-1522

10215 Fernwood Rd
Ste 506
Bethesda, MD 20817
Phone (240) 482-2414

6400 Goldsboro Rd
Ste 340
Bethesda, MD 20817
Phone (301) 244-9099

19735 Germantown Rd
Ste 120
Germantown, MD 20874
Phone (301) 340-9200

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

9601 Blackwell Rd
Ste 100
Rockville, MD 20850
Phone (301) 340-9200

1635 N George Mason Dr
Ste 180
Arlington, VA 22205
Phone (703) 276-7798

8401 Greensboro Dr
Mc Lean, VA 22102
Phone (845) 235-0320

8401 Greensboro Dr
Ste 120
McLean, VA 22102
Phone (571) 899-3580

Interoperability endpoints

  • Direct secure messaging: mgruner741420@direct.hopkinsmedicine.org
  • Direct secure messaging: marc.gruner.1@8042.direct.athenahealth.com

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 and National Provider Directory roles.

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": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1760877492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10215 FERNWOOD RD STE 506",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171184",
            "telephone_number": "301-350-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 GREENSBORO DR STE 120",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221025101",
            "telephone_number": "571-899-3590",
            "fax_number": "571-378-1302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6608 River Trail Ct",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208174324",
            "country_code": "US",
            "telephone_number": "301-793-9241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 1st St SW",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559050001",
            "country_code": "US",
            "telephone_number": "507-284-2511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10215 Fernwood Rd Ste 506",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208171184",
            "country_code": "US",
            "telephone_number": "301-530-1010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUNER",
        "first_name": "MARC",
        "middle_name": "PHILIP",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-31",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "MN",
            "license": "65424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgruner600222@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "200 1st St SW",
            "city": "Rochester",
            "state": "MN",
            "country_code": "US",
            "postal_code": "559050001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in McLean, VA

Sources for this page

Verify at the official NPI Registry.