Angela Grenander, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

6330 Issued in RI

Practice address

234 Maple Ave
Barrington, RI 02806-3406

Phone

(401) 247-1644

Fax

(401) 247-4961

NPI assigned

Sep 13, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• Mrs. Angela Grenander-Raufi Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in RI

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

Specialty

Pediatric Medicine

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• East Bay Pediatric & Adolescent Medicine Associates Inc

  • Pediatrics Physician
  • Barrington, RI
  • NPI 1760600266
  Medicare reassignment NPD Authorized official
• Affinity Physicians LLC.

  • Internal Medicine Physician
  • Warwick, RI
  • NPI 1184944662

  Pediatrics

  NPD

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1851386189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 MAPLE AVE",
            "city": "BARRINGTON",
            "state": "RI",
            "postal_code": "028063406",
            "telephone_number": "401-247-1644",
            "fax_number": "401-247-4961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 MAPLE AVE",
            "city": "BARRINGTON",
            "state": "RI",
            "postal_code": "028063406",
            "telephone_number": "401-247-1644",
            "fax_number": "401-247-4961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRENANDER",
        "first_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2023-03-07",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "RI",
            "license": "6330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AG00906",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "404269",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "71004910",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LIC",
            "identifier": "RI6330",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1200164",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "22767",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "202233",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agrenander@direct.carene.org",
            "affiliation": "N",
            "address_1": "234 Maple Ave",
            "city": "Barrington",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028063406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "GRENANDER-RAUFI",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• James Carleton Goff, DMD
• Christopher Grant
• Amy Lee Greene, MPT
• Brian Greene, OPTICIAN
• Abigail Elisa Greiner
• Tammie Bird Guerra, CCCSLP
• Mary Helen E. Gustafson, DPT
• Elizabeth Christine Hall, ED.D., PH.D.
• Mary Thomas Hanchar, MSPT
• Elaine Desrosiers Hart, NP

• Pediatrics Physician in Barrington, RI
• Providers in Barrington, RI by specialty
• Pediatrics Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.

Verify at the official NPI Registry.