Individual provider Active NPI

Thomas S. Granchi, MD

  • Surgery Physician
  • Iowa City, IA
National Provider Identifier
1770663023
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
41247 Issued in IA
Practice address
200 Hawkins Dr
Dept of Surgery
Iowa City, IA 52242-1009
Phone
(319) 353-8435
Fax
(319) 467-5141
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X H6252 TX
Surgery Physician 208600000X 41247 IA Primary
Surgical Critical Care Physician 2086S0102X 41247 IA
Trauma Surgery Physician 2086S0127X 41247 IA

Addresses

Primary practice location

200 Hawkins Dr
Dept of Surgery
Iowa City, IA 52242-1009

Mailing address

200 Hawkins Dr
Dept of Surgery
Iowa City, IA 52242-1009
Phone (319) 353-8435

Other identifiers 3

IdentifierTypeStateIssuer
020045793OtherRR MEDICARE
133157104MedicaidTX
133157101MedicaidTX

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
I20090117000010 TX Practitioner - General Surgery 0941363923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Ohio State University College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Specialty Associates of Texas PLLCGroup PAC ID 6507258209, 68 clinicians

Practice addresses (Care Compare)

21214 Northwest Fwy
Cypress, TX 77429-2105
Phone (832) 912-3500

500 W Medical Ctr Blvd
Webster, TX 77598-4220
Phone (281) 332-2511

6801 Emmett F Lowry Expy
Texas City, TX 77591-2500
Phone (800) 930-6313

7101 S Padre Island Dr
Corpus Christi, TX 78412-4913
Phone (361) 761-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
41247IAMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Specialty Associates of Texas, PLLC Surgical Critical Care CurrentSince May 24, 2022 Accepting new patients
Boone County Hospital Past Accepting new patients
Chca Clear Lake LP Past Accepting new patients
Baylor College of Medicine Surgery Past Accepting new patients

Locations

6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095

500 W Medical Center Blvd
Webster, TX 77598
Phone (713) 447-4650

Organizations & group practices 4

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376956800000",
    "number": "1770663023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "address_2": "DEPT OF SURGERY",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-353-8435",
            "fax_number": "319-467-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "address_2": "DEPT OF SURGERY",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-353-8435",
            "fax_number": "319-467-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANCHI",
        "first_name": "THOMAS",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2013-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "H6252",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IA",
            "license": "41247",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "IA",
            "license": "41247",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "IA",
            "license": "41247",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "020045793",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133157104",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133157101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.