Individual provider Active NPI

James McCall Grimson, M.D.

  • Diagnostic Radiology Physician
  • Newport News, VA
National Provider Identifier
1801876677
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101239501 Issued in VA
Practice address
500 J. Clyde Morris Blvd
Riverside Regional Medical Center
Newport News, VA 23601-1929
Phone
(757) 594-4405
Fax
(757) 867-6587
NPI assigned
Jan 18, 2006
Last updated
Jan 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0101239501 VA Primary
Diagnostic Radiology Physician 2085R0202X 142428 NC
Diagnostic Radiology Physician 2085R0202X AFE73354 CA

Addresses

Primary practice location

500 J. Clyde Morris Blvd
Riverside Regional Medical Center
Newport News, VA 23601-1929

Mailing address

P O Box 12087
Newport News, VA 23612-2087
Phone (757) 867-6102

Other identifiers 1

IdentifierTypeStateIssuer
P00980543OtherVARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20080502000175 VA Practitioner - Diagnostic Radiology 8729167762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peninsula Radiological Associates LimitedGroup PAC ID 5991603573, 64 clinicians

Practice addresses (Care Compare)

1500 Commonwealth Ave
Williamsburg, VA 23185-5229
Phone (757) 585-2200

19339 Benns Grant Blvd
Smithfield, VA 23430-6393
Phone (757) 534-5000

202 Gumwood Dr
Smithfield, VA 23430-6087
Phone (757) 356-9346

20480 Market St
Onancock, VA 23417-4309
Phone (757) 414-8746

500 J Clyde Morris Blvd
Newport News, VA 23601-1929
Phone (757) 594-2911

7519 Hospital Dr
Gloucester, VA 23061-4178
Phone (804) 693-8856

895 City Ctr Blvd
Suite 104
Newport News, VA 23606-3080
Phone (757) 594-3900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.12 of 100Reported as group
Quality
97.78
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AFE73354CAMDDiagnostic Radiology Physician
142428NCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Radiological Associates Limited Diagnostic Radiology CurrentSince Jul 1, 2011 Accepting new patients

Locations

7519 Hospital Dr
Gloucester, VA 23061
Phone (804) 693-8800

500 J Clyde Morris Blvd
North North, VA 23601
Phone (757) 594-2000

19339 Benns Grant Blvd
Smithfield, VA 23430
Phone (757) 534-5000

Organizations & group practices 1

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 5

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": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326067200000",
    "number": "1801876677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 12087",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236122087",
            "telephone_number": "757-867-6102",
            "fax_number": "757-867-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 J. CLYDE MORRIS BLVD",
            "address_2": "RIVERSIDE REGIONAL MEDICAL CENTER",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011929",
            "telephone_number": "757-594-4405",
            "fax_number": "757-867-6587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMSON",
        "first_name": "JAMES",
        "middle_name": "MCCALL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2012-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101239501",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "142428",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "AFE73354",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00980543",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.