Organization Active NPI

Michael R. Grossman, DPM

Doing business as Main Line Foot and Ankle Center

  • Podiatrist
  • Bala Cynwyd, PA
National Provider Identifier
1841354081
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
MICHAEL R. GROSSMAN, DPM
Doing business as
Main Line Foot and Ankle Center
Practice address
2 Bala PLZ Ste PL33
Bala Cynwyd, PA 19004-1501
Phone
(610) 645-6314
Fax
(610) 645-9923
NPI assigned
Dec 21, 2006
Last updated
Mar 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Authorized official

Name
Michael R. GrossmanNPI 1225011786
Title
Owner/Provider
Phone
(610) 645-6314

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
Podiatrist 213E00000X PA Primary

Addresses

Primary practice location

2 Bala PLZ Ste PL33
Bala Cynwyd, PA 19004-1501

Mailing address

2 Bala PLZ Ste PL33
Bala Cynwyd, PA 19004-1501
Phone (610) 645-6314

Other practice location 1

2 Bala Plz Ste Pl33
Bala Cynwyd, PA 19004-1501
Phone (610) 645-6314

Other names 3

  • Main Line Foot and Ankle Center Doing business as
  • Michael R. Grossman, DPM Former legal business name
  • Main Line Foot & Ankle Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930077870 PA DME Supplier - Physician - Podiatry 2668452285 Practice locations: Bala Cynwyd, PA
O20260623005121 PA Part B Supplier - Clinic/Group Practice 2668452285 Receives reassigned benefits from 4 practitioners
Practice locations: Bala Cynwyd, PA

National Provider Directory

National Provider Directory

Locations

121 Coulter Ave
Ste 109
Ardmore, PA 19003
Phone (610) 645-6314

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1841354081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BALA PLZ STE PL33",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041501",
            "telephone_number": "610-645-6314",
            "fax_number": "610-645-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BALA PLZ STE PL33",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041501",
            "telephone_number": "610-645-6314",
            "fax_number": "610-645-9923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Bala Plz Ste Pl33",
            "address_purpose": "LOCATION",
            "city": "Bala Cynwyd",
            "state": "PA",
            "postal_code": "190041501",
            "country_code": "US",
            "telephone_number": "610-645-6314",
            "fax_number": "610-645-9923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHAEL R. GROSSMAN, DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "GROSSMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "610-645-6314"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main Line Foot and Ankle Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Michael R. Grossman, DPM",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Main Line Foot & Ankle Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bala Cynwyd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.