Individual provider Active NPI

Richard Mark Grossman, M.D.

  • Orthopaedic Surgery Physician
  • Boca Raton, FL
National Provider Identifier
1871607465
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
0101277831 Issued in VA
Practice address
6176 Island BND Apt D
Boca Raton, FL 33496-3271
Phone
(301) 440-1620
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X MD15673 DC
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X MD15673 DC
Orthopaedic Trauma Physician 207XX0801X MD15673 DC
Orthopaedic Surgery Physician 207X00000X 0101277831 VA Primary

Addresses

Primary practice location

6176 Island BND Apt D
Boca Raton, FL 33496-3271

Mailing address

6176 Island BND Apt D
Boca Raton, FL 33496-3271

Other practice location 1

2973 Winter Jack Ln
Fairfax, VA 22031-2358
Phone (301) 440-1620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20100526000110 DC Practitioner - Orthopedic Surgery 2466581707 Practice locations: Arlington, VA; Fairfax, VA; Herndon, VA; MC Lean, VA; Potomac, MD

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101277831VAMDOrthopaedic Surgery Physician
MD15673DCMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grossman Ortho LLC PastSince Sep 5, 2023 Accepting new patients
McLean Tysons Orthopedic Surgery Center, LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1871607465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6176 ISLAND BND APT D",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334963271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6176 ISLAND BND APT D",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334963271",
            "telephone_number": "301-440-1620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2973 Winter Jack Ln",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220312358",
            "country_code": "US",
            "telephone_number": "301-440-1620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "RICHARD",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "DC",
            "license": "MD15673",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "DC",
            "license": "MD15673",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "DC",
            "license": "MD15673",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101277831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.