Michael Grill, DO
Individual provider Active NPI Family Medicine Physician · Pawling, NY
NPI 1962490110 · NPPES record last updated Dec 17, 2007
Key facts
- NPI
- 1962490110
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 195853 (NY)
- Practice address
- 7 Chapin LN
Pawling, NY 12564-3337 - Phone
- (845) 855-0084
- Fax
- (845) 855-1897
- NPI assigned
- Oct 12, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Philadelphia College of Osteopathic Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Westchester Putnam Gastroenterology PC
Practice addresses (Care Compare)
3630 Hill Blvd
Suite 103
Jefferson Valley, NY 10535-1503
Phone (914) 245-5400
667 Stoneleigh Ave
Carmel, NY 10512-2454
Phone (845) 278-5223
Hospital & facility affiliations
- Lawrence Home Care of Westchester
- Americare Certified Special Services, Inc Chha
- VNS Westchester Chha
- Sharon Hospital
- Vassar Brothers Medical Center
- Putnam Hospital Center
- Danbury Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- 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 |
|---|---|---|---|---|
| I20060202000571 | NY | Practitioner - Family Practice | 2567476328 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 195853 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current |
Accepting new patients | |
| Westchester Putnam Gastroenterology P.C. | Family Medicine | Current |
Accepting new patients |
| New York University | Current |
Accepting new patients |
Locations
667 Stoneleigh Ave
Ste 201A
Carmel, NY 10512
Phone (845) 278-5223
7 Chapin Ln
Pawling, NY 12564
Phone (845) 855-0084
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EJIHCA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 195853 | NY | Yes |
Addresses
Primary practice location
7 Chapin LN
Pawling, NY 12564-3337
Mailing address
7 Chapin LN
Pawling, NY 12564-3337
Phone (845) 855-0084
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080181191 | Other | RAILROAD MEDICARE | |
| 01482246 | Medicaid | NY |
NPI Registry JSON
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197849600000",
"number": "1962490110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 CHAPIN LN",
"city": "PAWLING",
"state": "NY",
"postal_code": "125643337",
"telephone_number": "845-855-0084",
"fax_number": "845-855-1897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 CHAPIN LN",
"city": "PAWLING",
"state": "NY",
"postal_code": "125643337",
"telephone_number": "845-855-0084",
"fax_number": "845-855-1897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRILL",
"first_name": "MICHAEL",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-12",
"last_updated": "2007-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "195853",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080181191",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01482246",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pawling, NY
- Richard A Goodman
- Nancy A Goodrich
- Dawn Starr Gorlitsky
- Alison Patricia Greene
- Jennifer L Greiner
- Sophia Marie Guerriero
- Health Quest Medical Practice, PC
- Ashley Hocutt
- Anthony Gerard Infantino
- Julie A Johns
All providers in Pawling, NY · Family Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2007. 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.