NPIMap

Individual provider Active NPI

Douglas R Gronda, MD

  • Internal Medicine Physician
  • Holliston, MA
National Provider Identifier
1962463109
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
214551 Issued in MA
Practice address
479 Washington St
Holliston, MA 01746
Phone
(508) 429-2377
Fax
(508) 429-2607
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 214551 MA Primary

Addresses

Primary practice location

479 Washington St
Holliston, MA 01746

Mailing address

171 Main St Ste 203B
Ashland, MA 01721-1187
Phone (508) 881-3029

Other identifiers 1

IdentifierTypeStateIssuer
110007205AMedicaidMA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address GRONDA.DOUGLAS.CRM@DIRECT.PARTNERS.MASSHIWAY.NET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20100621000781 MA Practitioner - Internal Medicine 1759412661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Boston University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

479 Washington St
Holliston, MA 01746-1828
Phone (508) 429-2377

Hospital & facility affiliations

  • Natick Walpole Visiting Nurse Association Home health agency, Walpole, MA, CCN 227139
  • Metrowest Homecare and Hospice, an Amedisys Company Home health agency, Marlborough, MA, CCN 227050
  • Vna and Hospice of Greater Milford Home health agency, Milford, MA, CCN 227063
  • Mass General Brigham Home Care, Inc Home health agency, Newton, MA, CCN 227207
  • Caretenders Home health agency, Needham Heights, MA, CCN 227269
  • Faith and Family Hospice Hospice, Marlborough, MA, CCN 221607
  • Good Shepherd Community Care Hospice, Newton, MA, CCN 221500
  • Metrowest Medical Center Hospital, Framingham, MA, CCN 220175
  • Milford Regional Medical Center Hospital, Milford, MA, CCN 220090
  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110
  • Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101
  • Brigham and Women Faulkner Hospital Hospital, Jamaica Plain, MA, CCN 220119
  • St Patrick's Manor Nursing home, Framingham, MA, CCN 225430

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
214551MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charles River Medical Associates PC Internal Medicine CurrentSince Jan 1, 2017 Accepting new patients
Charles River Medical Associates PC CurrentSince Jan 1, 2017 Accepting new patients
St. Patrick'S Manor, Inc Past Accepting new patients

Locations

171 Main St
Ste 203B
Ashland, MA 01721
Phone (508) 881-3029

600 Worcester Rd
Ste 504
Framingham, MA 01702
Phone (508) 875-0922

571 Union Ave
Framingham, MA 01702
Phone (508) 879-8556

479 Washington St
Holliston, MA 01746
Phone (508) 429-2377

Interoperability endpoints

  • Direct secure messaging: gronda.douglas.crm@direct.partners.masshiway.net

Organizations & group practices 3

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1962463109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 MAIN ST STE 203B",
            "city": "ASHLAND",
            "state": "MA",
            "postal_code": "017211187",
            "telephone_number": "508-881-3029",
            "fax_number": "508-881-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 WASHINGTON ST",
            "city": "HOLLISTON",
            "state": "MA",
            "postal_code": "01746",
            "telephone_number": "508-429-2377",
            "fax_number": "508-429-2607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRONDA",
        "first_name": "DOUGLAS",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "214551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110007205A",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "GRONDA.DOUGLAS.CRM@DIRECT.PARTNERS.MASSHIWAY.NET",
            "affiliation": "N",
            "address_1": "479 Washington St",
            "city": "Holliston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "01746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Holliston, MA

Sources for this page

Verify at the official NPI Registry.