Active NPI
Kate Lauren Grossman, M.D.
- Pulmonary Disease Physician
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 2015010967
- Practice address
- 1705 East Broadway
Suite 280
Columbia, MO 65201-5844 - Phone
- (573) 815-7118
- Fax
- (573) 815-7116
- NPI assigned
- Jul 1, 2008
- Last updated
- Nov 14, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125052956 | IL | |
| Internal Medicine Physician | 207R00000X | 2015010967 | MO | |
| Pediatrics Physician | 208000000X | 125052956 | IL | |
| Pulmonary Disease Physician | 207RP1001X | 2015010967 | MO | Primary |
Addresses
Primary practice location
1705 East Broadway
Suite 280
Columbia, MO 65201-5844
Mailing address
1705 East Broadway
Suite 280
Columbia, MO 65201-5844
Phone (573) 815-7118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 E Broadway
Columbia, MO 65201-5844
Phone (573) 815-8000
1600 E Broadway Box 50 Attn Stephanie Windsor
Columbia, MO 65201-5844
1705 E Broadway
Suite 280
Columbia, MO 65201-7185
Phone (573) 815-7119
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125052956 | IL | MD | Internal Medicine Physician |
| 2015010967 | MO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boone Physician Services, LLC | Current | Accepting new patients | |
| CH Allied Services, Inc. | Past | Accepting new patients | |
| Macneal Physicians Group LLC | Internal Medicine | Past | Accepting new patients |
Locations
1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000
1705 E Broadway
Ste 280
Columbia, MO 65201
Phone (573) 815-7119
Interoperability endpoints
- kategrossman@mhccaremail.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Columbia, MO
- NPI 1760893259
-
dba Boone Hospital Center
- General Acute Care Hospital
- Columbia, MO
- NPI 1902817844
-
dba Vanguard Medical Group
- Internal Medicine Physician
- Berwyn, IL
- NPI 1205024791
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Boone Hospital Center
- Cardiac Rehabilitation Clinic/Center
- Columbia, MO
- NPI 1548734734
Hospital
-
dba Boone Hospital Center
- General Acute Care Hospital
- Columbia, MO
- NPI 1902817844
-
dba Pershing Memorial Hospital
- Critical Access Hospital
- Brookfield, MO
- NPI 1417991159
-
dba Northeast Regional Medical Center
- General Acute Care Hospital
- Kirksville, MO
- NPI 1104899442
-
- Critical Access Hospital
- Macon, MO
- NPI 1548215106
-
dba Moberly Regional Medical Center
- General Acute Care Hospital
- Moberly, MO
- NPI 1770554305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542153600000",
"number": "1841452869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 EAST BROADWAY",
"address_2": "SUITE 280",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652015844",
"telephone_number": "573-815-7118",
"fax_number": "573-815-7116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 EAST BROADWAY",
"address_2": "SUITE 280",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652015844",
"telephone_number": "573-815-7118",
"fax_number": "573-815-7116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSSMAN",
"first_name": "KATE",
"middle_name": "LAUREN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-01",
"last_updated": "2018-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125052956",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2015010967",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "125052956",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MO",
"license": "2015010967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.