NPIMap

Individual provider Active NPI

Dominic Carlton Dewaters Grimberg, MD

  • Urology Physician
  • Asheville, NC
National Provider Identifier
1952833709
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
2023-01026 Issued in NC
Practice address
1 Doctors Park
Asheville, NC 28801-4500
Phone
(828) 253-5314
NPI assigned
Mar 31, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 2023-01026 NC Primary

Addresses

Primary practice location

1 Doctors Park
Asheville, NC 28801-4500

Mailing address

1 Doctors Park
Asheville, NC 28801-4500
Phone (828) 253-5314

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230802001486 NC Practitioner - Urology 8527429851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventhealth Medical Group Cancer and Specialty Care LLCGroup PAC ID 0042246050, 20 clinicians

Practice addresses (Care Compare)

1 Doctors Park
Asheville, NC 28801-4500
Phone (828) 253-5314

Hospital & facility affiliations

  • Pardee Hospital Henderson County Hospital, Hendersonville, NC, CCN 340017
  • Adventhealth Hendersonville Hospital, Hendersonville, NC, CCN 340023
  • Memorial Mission Hospital and Asheville Surgery Ce Hospital, Asheville, NC, CCN 340002
  • Haywood Regional Medical Center Hospital, Clyde, NC, CCN 340184
  • The McDowell Hospital Hospital, Marion, NC, CCN 340087

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2023-01026NCMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesiscare USA of North Carolina, PA CurrentSince Sep 1, 2023 Accepting new patients
Adventhealth Medical Group Cancer and Specialty Care LLC Current Accepting new patients
Adventhealth Medical Group Cancer and Specialty Care LLC Urology CurrentSince Sep 1, 2023 Accepting new patients
Asheville Urological Assoc Inc. Urology Current Accepting new patients
Radiation Therapy Associates of Western North Carolina PA Past Accepting new patients

Locations

2270 Colonial Blvd
Fort Myers, FL 33907
Phone (239) 344-2391

1 Doctors Park
Asheville, NC 28801
Phone (828) 253-5314

630 5th Ave W
Hendersonvlle, NC 28739
Phone (828) 692-2258

703 Doctors Dr
Kinston, NC 28501
Phone (252) 522-7600

Interoperability endpoints

  • Direct secure messaging: dgrimberg2001167@adventhealth.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1952833709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DOCTORS PARK",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014500",
            "telephone_number": "828-253-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DOCTORS PARK",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014500",
            "telephone_number": "828-253-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMBERG",
        "first_name": "DOMINIC",
        "middle_name": "CARLTON DEWATERS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-31",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "2023-01026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.