Active NPI
Peter Ross Grinkewitz, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Portsmouth, VA
National Provider Identifier
1922191394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 0103000751
- Practice address
- 3640 High St Ste 1D
Portsmouth, VA 23707-3213 - Phone
- (757) 393-1074
- Fax
- (757) 397-3412
- NPI assigned
- Sep 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 0103000751 | VA | Primary |
Addresses
Primary practice location
3640 High St Ste 1D
Portsmouth, VA 23707-3213
Mailing address
2957 Bruce Sta
Chesapeake, VA 23321-4258
Phone (757) 483-0969
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009303405 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1980
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3640 High St
1D
Portsmouth, VA 23707-3213
Phone (787) 393-1074
3640 High Street
D1
Portsmouth, VA 23707-3213
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of nail tissue | 37 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot & Ankle Medical Center, LLC | Current | Accepting new patients |
Locations
3640 High St
Ste 1D
Portsmouth, VA 23707
Phone (757) 393-1074
Organizations & group practices 1
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.
-
- Podiatrist
- Portsmouth, VA
- NPI 1740588425
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Suffolk, VA
- NPI 1104658434
-
- General Acute Care Hospital
- Portsmouth, VA
- NPI 1750399192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216080000000",
"number": "1922191394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2957 BRUCE STA",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233214258",
"telephone_number": "757-483-0969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3640 HIGH ST STE 1D",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237073213",
"telephone_number": "757-393-1074",
"fax_number": "757-397-3412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRINKEWITZ",
"first_name": "PETER",
"middle_name": "ROSS",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-30",
"last_updated": "2008-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "VA",
"license": "0103000751",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009303405",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.