Anton Grankin, M.D.
Individual provider Active NPI Family Medicine Physician · North Vernon, IN
NPI 1942525027 · NPPES record last updated Jun 24, 2022
Key facts
- NPI
- 1942525027
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 01072895A (IN)
- Practice address
- 301 Henry St
North Vernon, IN 47265-1030 - Phone
- (812) 352-4300
- NPI assigned
- Apr 1, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Vincent Medical Group Inc
Practice addresses (Care Compare)
301 Henry St
North Vernon, IN 47265-1030
Phone (812) 352-4427
8433 Harcourt Rd
Suite 100
Indianapolis, IN 46260-2193
Phone (317) 583-7600
Hospital & facility affiliations
- Ascension at Home
- Ascension St Vincent Jennings
- Norton-King'S Daughters' Health
- Columbus Regional Hospital
- Schneck Medical Center
- Ascension St Vincent Jennings
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130927000126 | IN | Practitioner - Family Practice | 3072747369 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01072895A | IN | MD | Family Medicine Physician |
| IP1252 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Vincent Medical Group, Inc. | Family Medicine | Current |
Accepting new patients |
| St. Vincent Medical Group, Inc. | Current |
Accepting new patients | |
| St Vincent Medical Group Inc | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702
301 Henry St
North Vernon, IN 47265
Phone (812) 352-4200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | IP1252 | KY | |
| Family Medicine Physician | 207Q00000X | 01072895A | IN | Yes |
Addresses
Primary practice location
301 Henry St
North Vernon, IN 47265-1030
Mailing address
301 Henry St
North Vernon, IN 47265-1030
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | anton.grankin.1@7598.direct.athenahealth.com | St. Vincent Medical Group, Inc. |
Other providers in North Vernon, IN
- Heidi Frey
- James Terry Frey
- Galen Inpatient Physicians PC
- George'S Family Pharmacy, Inc.
- Allan L. Goins Jr.
- Greenbrier Professionals, LLC
- Stacy Grider
- Emily Cumberworth Gunst
- Georgia Campbell Hall
- John William Hancock
All providers in North Vernon, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.