Individual provider Active NPI

Thomas Austin Grady Jr., MD

  • Cardiovascular Disease Physician
  • Oswego, NY
National Provider Identifier
1962400754
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
211331 Issued in NY
Practice address
140 West Sixth Street, Ste 270
Physician Care PC
Oswego, NY 13126
Phone
(315) 349-5752
Fax
(315) 349-5769
NPI assigned
Jul 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 211331 NY Primary

Addresses

Primary practice location

140 West Sixth Street, Ste 270
Physician Care PC
Oswego, NY 13126

Mailing address

110 W 6TH St
Oswego, NY 13126-2507
Phone (315) 349-5511

Other identifiers 1

IdentifierTypeStateIssuer
01875598MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080428000202 NY Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 2860387065 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Tufts University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Care PCGroup PAC ID 9032367453, 74 clinicians
Crouse Medical Practice PLLCGroup PAC ID 8426189622, 187 clinicians

Practice addresses (Care Compare)

140 W 6TH St
Suite 210
Oswego, NY 13126-2554
Phone (315) 349-5828

4820 W Taft Rd
Suite 209
Liverpool, NY 13088-2806
Phone (315) 448-6215

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
211331NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crouse Medical Practice, PLLC CurrentSince Aug 1, 2024 Accepting new patients
Crouse Medical Practice PLLC CurrentSince Aug 1, 2024 Accepting new patients
Cardiovascular Specialists of Central New York PLLC Cardiovascular Disease CurrentSince Sep 9, 2023 Accepting new patients
St Josephs Hospital Health Center CurrentSince Oct 1, 2000 Accepting new patients
North Medical PC Current Accepting new patients
St Joseph'S Hospital Health Center CurrentSince Oct 1, 2000 Accepting new patients
Physician Care PC CurrentSince Dec 1, 2012 Accepting new patients
St Josephs Medical PC CurrentSince Aug 26, 2018 Accepting new patients

Locations

6221 State Route 31
Ste 104
Cicero, NY 13039
Phone (315) 698-4888

6221 State Route 31
Ste 10
Cicero, NY 13039

4507 Medical Center Dr
Fayetteville, NY 13066
Phone (315) 637-7100

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

4820 W Taft Rd
Ste 209
Liverpool, NY 13088
Phone (315) 448-6125

4820 W Taft Rd
Ste 201
Liverpool, NY 13088
Phone (315) 234-0906

110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511

140 W 6th St
Ste 280
Oswego, NY 13126
Phone (315) 207-0002

140 W 6th St
Ste 270
Oswego, NY 13126
Phone (315) 342-3400

140 W 6th St
Ste 210
Oswego, NY 13126
Phone (315) 343-3992

736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200

1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488

Interoperability endpoints

  • Direct secure messaging: tgrady@oswegohealth.hiemail.healtheconnections.org

Organizations & group practices 8

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 6

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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1962400754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W 6TH ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262507",
            "telephone_number": "315-349-5511",
            "fax_number": "315-349-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 WEST SIXTH STREET, STE 270",
            "address_2": "PHYSICIAN CARE PC",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "13126",
            "telephone_number": "315-349-5752",
            "fax_number": "315-349-5769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRADY",
        "first_name": "THOMAS",
        "middle_name": "AUSTIN",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "211331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01875598",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, NY

Sources for this page

Verify at the official NPI Registry.