Active NPI
Laurance Grossman, MD
- Diagnostic Radiology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 234320-1
- Practice address
- 630 W 168TH St # MC28
New York, NY 10032-3725 - Phone
- (212) 305-1948
- Fax
- (212) 305-5777
- NPI assigned
- Jul 3, 2006
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 234320-1 | NY | Primary |
Addresses
Primary practice location
630 W 168TH St # MC28
New York, NY 10032-3725
Mailing address
630 W 168TH St # MC28
New York, NY 10032-3725
Phone (212) 305-1948
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02603625 | Medicaid | NY | |
| W35021 | Other | NY | MEDICARE GROUP # |
| 02186203 | Other | NY | MEDICAID GROUP # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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
- Diagnostic Radiology
- Education
- Ohio State University College of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2420 Lake Ave
Ashtabula, OH 44004-4954
Phone (440) 997-2262
6780 Mayfield Rd
Mayfield Heights, OH 44124-2203
6803 Mayfield Rd
Mayfield Heights, OH 44124-2271
Phone (440) 312-4500
8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950
9500 Euclid Ave
Cleveland, OH 44195-0001
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 234320-1 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients | |
| Wooster Clinic, LLC | Current | Accepting new patients | |
| The Cleveland Clinic Foundation | Current | Accepting new patients | |
| Clinic Medical Services Company LLC | Diagnostic Radiology | Current | Accepting new patients |
| Clinic Medical Services Company | Diagnostic Radiology | Current | Accepting new patients |
| Open MRI of Steubenville, LTD | Past | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Diagnostic Radiology | Past | Accepting new patients |
| Trustees of Columbia University in the City of New York | Diagnostic Radiology | Past | Accepting new patients |
| Cleveland Clinic Florida a Nonprofit Corporation | Past | Accepting new patients | |
| DRS. Hill & Thomas Co. | Diagnostic Radiology | Past | Accepting new patients |
| DRS. Hill & Thomas Co. | Past | Accepting new patients |
Locations
2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
1730 W 25th St
Cleveland, OH 44113
Phone (216) 696-4300
12300 McCracken Rd
Garfield Hts, OH 44125
Phone (216) 581-0500
5005 Rockside Rd
Independence, OH 44131
Phone (440) 986-4000
6780 Mayfield Rd
Mayfield Hts, OH 44124
Phone (440) 331-9520
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
2785 Som Center Rd
Willoughby Hills, OH 44094
Phone (216) 278-0288
1740 Cleveland Rd
Wooster, OH 44691
Phone (330) 287-4500
Interoperability endpoints
- lgrossman32403@direct.ccf.org
Organizations & group practices 11
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.
-
dba Cleveland Clinic Star Imaging
- Diagnostic Radiology Physician
- Cleveland, OH
- NPI 1528013984
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
-
- Multi-Specialty Clinic/Center
- Wooster, OH
- NPI 1033135009
-
dba Cleveland Clinic Star Imaging
- Diagnostic Radiology Physician
- Columbus, OH
- NPI 1508024209
-
dba cleveland clinic foundation
- General Acute Care Hospital
- Euclid, OH
- NPI 1457403016
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1043328354
-
dba Columbia Presbyterian Radiologists
- Diagnostic Radiology Physician
- New York, NY
- NPI 1467560854
-
- Clinic/Center
- Weston, FL
- NPI 1215989298
-
dba Southside Imaging Diagnostic Center
- Radiology Clinic/Center
- Medina, OH
- NPI 1265544662
-
- Diagnostic Radiology Physician
- Willoughby, OH
- NPI 1568574952
-
- Specialist
- Steubenville, OH
- NPI 1861445462
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ashtabula Regional Medical Center
- General Acute Care Hospital
- Ashtabula, OH
- NPI 1285607416
-
dba Euclid Hospital
- General Acute Care Hospital
- Euclid, OH
- NPI 1598719346
-
dba Hillcrest Hospital
- General Acute Care Hospital
- Mayfield HTS, OH
- NPI 1902858152
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1215989611
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196121600000",
"number": "1942230347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 W 168TH ST # MC28",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323725",
"telephone_number": "212-305-1948",
"fax_number": "212-305-5777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 W 168TH ST # MC28",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323725",
"telephone_number": "212-305-1948",
"fax_number": "212-305-5777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSSMAN",
"first_name": "LAURANCE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2007-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "234320-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02603625",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP #",
"identifier": "W35021",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP #",
"identifier": "02186203",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.