Active NPI
Michael Grainger, M.D.
- Diagnostic Radiology Physician
- Cocoa Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME98264
- Practice address
- 701 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3585 - Phone
- (321) 799-7192
- NPI assigned
- Mar 20, 2007
- Last updated
- Nov 20, 2020
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | 200500993 | NC | |
| Body Imaging Physician | 2085B0100X | ME98264 | FL | |
| Diagnostic Radiology Physician | 2085R0202X | 200500993 | NC | |
| Diagnostic Radiology Physician | 2085R0202X | ME98264 | FL | Primary |
Addresses
Primary practice location
701 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3585
Mailing address
3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (321) 549-0677
Other practice location 1
1223 Gateway Dr
Melbourne, FL 32901-2607
Phone (321) 549-0677
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AD657X | Other | MEDICARE PTAN | |
| M9568 | Other | FL | MEDICARE HF |
| 04621 | Other | BCBS | |
| 104337300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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
- University of Miami, LM Miller School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1223 Gateway Dr
Melbourne, FL 32901-2607
Phone (321) 725-4500
1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-7000
Hospital & facility affiliations
- Viera Hospital
- Holmes Regional Medical Center
- Cape Canaveral Hospital
- Palm Bay Hospital
- Parrish Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME98264 | FL | MD | Body Imaging Physician |
| 200500993 | NC | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health First Medical Group, LLC | Current | Accepting new patients | |
| Interventional & Vascular Center, PLLC | Current | Accepting new patients | |
| Central Florida Radiology LLC | Diagnostic Radiology | Current | Accepting new patients |
| Brevard Physician Associates, PLLC | Body Imaging | Current | Accepting new patients |
| Health First Medical Group, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Stewart and Stewart a Medical Corporation | Past | Accepting new patients |
Locations
699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272
701 W Cocoa Beach Cswy
Cocoa Beach, FL 32931
Phone (321) 799-7111
1223 Gateway Dr
Melbourne, FL 32901
Phone (321) 549-0677
1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771
2222 S Harbor City Blvd
Ste 520
Melbourne, FL 32901
Phone (321) 409-9990
250 N Wickham Rd
Melbourne, FL 32935
Phone (321) 637-2600
6023 Farcenda Pl
Ste 101
Melbourne, FL 32940
Phone (321) 409-9990
3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771
13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185
490 N Washington Ave
Titusville, FL 32796
Phone (321) 268-4000
415 S Wickham Rd
West Melbourne, FL 32904
Phone (321) 400-1220
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- mgrainger71492@epicdirect.hf.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Melbourne, FL
- NPI 1598008955
Body Imaging
-
- General Practice Physician
- Melbourne, FL
- NPI 1750626495
Diagnostic Radiology
-
dba Standup MRI of Brevard
- Diagnostic Radiology Physician
- Melbourne, FL
- NPI 1225592041
-
- Vascular & Interventional Radiology Physician
- West Melbourne, FL
- NPI 1174980973
-
- General Practice Physician
- Rockledge, FL
- NPI 1073268934
-
dba Stewart Medical Group
- Family Medicine Physician
- Alhambra, CA
- NPI 1306058565
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cocoa Beach, FL
- NPI 1184691610
-
dba Palm Bay Hospital
- General Acute Care Hospital
- Palm Bay, FL
- NPI 1386940823
-
dba First Flight
- Air Ambulance
- Melbourne, FL
- NPI 1235312281
Hospital
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
-
dba Parrish Medical Center
- General Acute Care Hospital
- Titusville, FL
- NPI 1053424648
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1730494816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605830400000",
"number": "1952426983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 S FISKE BLVD",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329554306",
"telephone_number": "321-549-0677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 W COCOA BEACH CSWY",
"city": "COCOA BEACH",
"state": "FL",
"postal_code": "329313585",
"telephone_number": "321-799-7192"
}
],
"practiceLocations": [
{
"address_1": "1223 Gateway Dr",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329012607",
"country_code": "US",
"telephone_number": "321-549-0677",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAINGER",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2020-11-20",
"certification_date": "2020-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "NC",
"license": "200500993",
"primary": false
},
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "FL",
"license": "ME98264",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NC",
"license": "200500993",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME98264",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "AD657X",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE HF",
"identifier": "M9568",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "04621",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104337300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cocoa Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.