Active NPI
Benjamin Michael Grin, MD, MPH
- Internal Medicine Physician
- Boston, MA
National Provider Identifier
1922489145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 263301
- Practice address
- 75 Francis St
Boston, MA 02115-6110 - Phone
- (617) 732-5500
- NPI assigned
- Jun 12, 2015
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 263301 | MA | Primary |
Addresses
Primary practice location
75 Francis St
Boston, MA 02115-6110
Mailing address
75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas City Care Clinic | Current | Accepting new patients | |
| Kansas City Care Clinic | Current | Accepting new patients | |
| Upham'S Corner Health Committee, Inc. | Past | Accepting new patients |
Locations
3515 Broadway Blvd
Kansas City, MO 64111
Phone (816) 753-5144
4601 Independence Ave
Kansas City, MO 64124
Phone (816) 241-6334
3501 Broadway Blvd
Kansas City, MO 64111
Phone (816) 723-7114
2340 E Meyer Blvd
Ste 200
Kansas City, MO 64132
Phone (816) 753-5144
Interoperability endpoints
- benjamin.grin.1@19814.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Kansas City, MO
- NPI 1215273388
-
- Federally Qualified Health Center (FQHC)
- Kansas City, MO
- NPI 1437897774
-
- Community/Retail Pharmacy
- Dorchester, MA
- NPI 1659051795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434067200000",
"number": "1922489145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 FRANCIS ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021156110",
"telephone_number": "617-732-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 FRANCIS ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021156110",
"telephone_number": "617-732-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIN",
"first_name": "BENJAMIN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "MD, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-12",
"last_updated": "2015-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "263301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.