Individual provider Active NPI

Kevin M Grassi, M.D.

  • Pediatrics Physician
  • Glens Falls, NY
National Provider Identifier
1831457209
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
279080 Issued in NY
Practice address
100 Park Street
Glens Falls Hospital - Pediatric Hospitalist Program
Glens Falls, NY 12801
Phone
(518) 926-5925
Fax
(518) 926-5917
NPI assigned
Apr 24, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X 279080 NY Primary

Addresses

Primary practice location

100 Park Street
Glens Falls Hospital - Pediatric Hospitalist Program
Glens Falls, NY 12801

Mailing address

100 Park Street
Glens Falls Hospital
Glens Falls, NY 12801
Phone (518) 926-5925

Other practice location 1

14 Manor Dr
Queensbury, NY 12804-1906
Phone (518) 798-6400

Other practice location 2

14 Manor Dr
Queensbury, NY 12804-1906
Phone (518) 798-6400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kevin.grassi@cdirectglensfallshosp.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20150806011835 NY Practitioner - Pediatric Medicine 0446564298 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Glens Falls Hospital Inc CurrentSince Jul 1, 2016 Accepting new patients
Glens Falls Hospital Inc. Pediatrics CurrentSince Jul 1, 2016 Accepting new patients
Glens Falls Hospital Inc Past Accepting new patients

Locations

100 Park St
Glens Falls, NY 12801
Phone (518) 926-5924

79 North St
Granville, NY 12832
Phone (518) 642-0612

Interoperability endpoints

  • Direct secure messaging: kgrassi98793@albanymed.direct-ci.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1831457209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK STREET",
            "address_2": "GLENS FALLS HOSPITAL",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "12801",
            "telephone_number": "518-926-5925",
            "fax_number": "518-926-5917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARK STREET",
            "address_2": "GLENS FALLS HOSPITAL - PEDIATRIC HOSPITALIST PROGRAM",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "12801",
            "telephone_number": "518-926-5925",
            "fax_number": "518-926-5917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Manor Dr",
            "address_purpose": "LOCATION",
            "city": "Queensbury",
            "state": "NY",
            "postal_code": "128041906",
            "country_code": "US",
            "telephone_number": "518-798-6400",
            "fax_number": "518-798-4105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14 Manor Dr",
            "address_purpose": "LOCATION",
            "city": "Queensbury",
            "state": "NY",
            "postal_code": "128041906",
            "country_code": "US",
            "telephone_number": "518-798-6400",
            "fax_number": "518-798-4105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRASSI",
        "first_name": "KEVIN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-24",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "279080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kevin.grassi@cdirectglensfallshosp.org",
            "affiliation": "N",
            "address_1": "100 Park Street",
            "address_2": "Glens Falls Hospital - Pediatric Hospitalist Program",
            "city": "Glens Falls",
            "state": "NY",
            "country_code": "US",
            "postal_code": "12801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

Verify at the official NPI Registry.