Avie Avshalom Grunspan, MD

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

License

L6407 Issued in TX

Practice address

4114 Pond Hill Road
Suite 101
San Antonio, TX 78231

Phone

(210) 249-5020

Fax

(210) 572-1540

NPI assigned

Aug 3, 2005

Last updated

Nov 30, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Merit-based Incentive Payment System (MIPS)

Final score

18.78 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

62.61

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: agrunspan@txmss.gwaydirect.com

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.

• Texas Medical and Sleep Specialists, PLLC

  • Pediatric Sleep Medicine Physician
  • San Antonio, TX
  • NPI 1164668299
  Medicare reassignment NPD
• Kelly J Smith MD PA

  dba Children's Asthma, Sleep & Pulmonary Institute

  • Pediatric Pulmonology Physician
  • San Antonio, TX
  • NPI 1083829139

  Sleep Medicine

  NPD (past)
• Neurology and Sleep Specialists, PLLC

  dba Houston Specialty Clinic

  • Pediatrics Physician
  • Houston, TX
  • NPI 1316976111
  NPD (past)

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1881695542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4114 POND HILL ROAD",
            "address_2": "SUITE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78231",
            "telephone_number": "210-249-5020",
            "fax_number": "210-572-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4114 POND HILL ROAD",
            "address_2": "SUITE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78231",
            "telephone_number": "210-249-5020",
            "fax_number": "210-572-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNSPAN",
        "first_name": "AVIE",
        "middle_name": "AVSHALOM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TX",
            "license": "L6407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1584468-04",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karla Grullon
• Wendie Iris Grunberg, D.O.
• Gruner Lowe Therapy
• Crystal Dawn Grunewald Dispain
• Dawnelle Nicole Grunewald, RN
• Kassondra Suzanne Grzankowski, M.D.
• Kathleen Ellen Grzybowski, RN
• Gsgnm, PLLC
• Milana Andrea Guadagno, DMD
• Guadalupe County Hospital Board (Parklane West Healthcare Center)

• Sleep Medicine (Internal Medicine) Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Sleep Medicine (Internal Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.