NPIMap

Individual provider Active NPI

Michael Grill, DO

  • Family Medicine Physician
  • Pawling, NY
National Provider Identifier
1962490110
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
195853 Issued in NY
Practice address
7 Chapin LN
Pawling, NY 12564-3337
Phone
(845) 855-0084
Fax
(845) 855-1897
NPI assigned
Oct 12, 2005
Last updated
Dec 17, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 195853 NY Primary

Addresses

Primary practice location

7 Chapin LN
Pawling, NY 12564-3337

Mailing address

7 Chapin LN
Pawling, NY 12564-3337
Phone (845) 855-0084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20060202000571 NY Practitioner - Family Practice 2567476328 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 PCGroup PAC ID 9537059845, 14 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
195853NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Jun 1, 2015 Accepting new patients
New York University CurrentSince Jun 1, 2015 Accepting new patients
Westchester Putnam Gastroenterology P.C. Family Medicine CurrentSince Sep 7, 2019 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJIHCA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawling, NY

Sources for this page

Verify at the official NPI Registry.