Organization Active NPI

RS Surgical

  • Colon & Rectal Surgery Physician
  • Pompano Beach, FL
National Provider Identifier
1821645458
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
Legal business name
RS SURGICAL
Practice address
1800 N Federal Hwy Ste 101
Pompano Beach, FL 33062-1011
Phone
(954) 807-9545
NPI assigned
Aug 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Authorized official

Name
Dr. Manpreet Singh Grewal, MDNPI 1255513909
Title
Board Member
Phone
(904) 655-4387

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208C00000X Primary

Addresses

Primary practice location

1800 N Federal Hwy Ste 101
Pompano Beach, FL 33062-1011

Mailing address

4608 Swilcan Bridge LN S
Jacksonville, FL 32224-5620

Other practice location 1

4608 Swilcan Bridge Ln S
Jacksonville, FL 32224-5620
Phone (904) 655-4387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200421002174 FL Part B Supplier - Clinic/Group Practice 6709216427 Receives reassigned benefits from 1 practitioner
Practice locations: Pompano Beach, FL

National Provider Directory

National Provider Directory

Locations

1800 N Federal Hwy
Ste 101
Pompano Beach, FL 33062
Phone (305) 539-9933

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21716/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607990400000",
    "number": "1821645458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4608 SWILCAN BRIDGE LN S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322245620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N FEDERAL HWY STE 101",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621011",
            "telephone_number": "954-807-9545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4608 Swilcan Bridge Ln S",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322245620",
            "country_code": "US",
            "telephone_number": "904-655-4387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RS SURGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-19",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A",
        "authorized_official_last_name": "GREWAL",
        "authorized_official_first_name": "MANPREET",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "904-655-4387",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.