Active NPI
Grenville Rio-John Fernandes, MD
- Physical Medicine & Rehabilitation Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 01084046A
- Practice address
- 340 W 10TH St # Fs5100
Indianapolis, IN 46202-3082 - Phone
- (317) 948-0200
- NPI assigned
- Mar 27, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 01084046A | IN | Primary |
Addresses
Primary practice location
340 W 10TH St # Fs5100
Indianapolis, IN 46202-3082
Mailing address
340 W 10TH St # Fs5100
Indianapolis, IN 46202-3082
Other practice location 1
4141 Shore Dr
Indianapolis, IN 46254-2607
Phone (317) 329-2000
Other practice location 2
UTMC PM&R Residency Program
3000 Arlington Ave, MS 1086
Toledo, OH 43614-2595
Phone (419) 383-5090
Other practice location 3
Rehabilitation Hospital of Northwest Ohio
1455 W Medical Loop
Toledo, OH 43614-8015
Phone (419) 214-6292
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300039070 | Medicaid | IN |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gfernandes@direct.iuhealth.org | Direct | |
| Direct Messaging Address | gfernandes@directaddress.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- 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
- Physical Medicine and Rehabilitation
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
Hospital & facility affiliations
- Indiana University Health
- Ascension St Vincent Hospital
- Rehabilitation Hospital of Indiana Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.51 of 100
- Quality
- 84.51
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01084046A | IN | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| University Family Physicians, Inc. | Current | Accepting new patients | |
| Rehabilitation Associates of in PC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| University Family Physicians, Inc. | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| University of Toledo Physicians LLC | Physical Medicine & Rehabilitation | Past | Accepting new patients |
Locations
7216 Solutions Ctr
Chicago, IL 60677
1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
4141 Shore Dr
Indianapolis, IN 46254
Phone (317) 329-2000
6330 E 75th St
Ste 110
Indianapolis, IN 46250
Phone (317) 588-7130
Interoperability endpoints
- gfernandes@directaddress.net
- gfernandes@direct.iuhealth.org
Organizations & group practices 6
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.
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Physical Medicine & Rehabilitation Physician
- Indianapolis, IN
- NPI 1316929128
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1043275787
-
- Durable Medical Equipment & Medical Supplies
- Indianapolis, IN
- NPI 1669828042
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Internal Medicine Physician
- Toledo, OH
- NPI 1942296033
Physical Medicine & Rehabilitation
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
-
- Rehabilitation Hospital
- Indianapolis, IN
- NPI 1255406369
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1306898960
-
- General Acute Care Hospital
- Avon, IN
- NPI 1851833230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730332800000",
"number": "1891157046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 W 10TH ST # FS5100",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462023082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 W 10TH ST # FS5100",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462023082",
"telephone_number": "317-948-0200"
}
],
"practiceLocations": [
{
"address_1": "4141 Shore Dr",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462542607",
"country_code": "US",
"telephone_number": "317-329-2000",
"fax_number": "317-329-2531",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "UTMC PM&R Residency Program",
"address_2": "3000 Arlington Ave, MS 1086",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436142595",
"country_code": "US",
"telephone_number": "419-383-5090",
"fax_number": "419-383-3596",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Rehabilitation Hospital of Northwest Ohio",
"address_2": "1455 W Medical Loop",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436148015",
"country_code": "US",
"telephone_number": "419-214-6292",
"fax_number": "419-214-6550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FERNANDES",
"first_name": "GRENVILLE",
"middle_name": "RIO-JOHN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-27",
"last_updated": "2024-10-31",
"certification_date": "2024-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IN",
"license": "01084046A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300039070",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gfernandes@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4141 Shore Dr",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462542607",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gfernandes@directaddress.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "6330 E 75th St Ste 110",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462502717",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.