Active NPI
Anjna Rani Grover, M.D.
- Hospitalist Physician
- Gig Harbor, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- MD00049422
- Practice address
- 11567 Canterwood Blvd
Gig Harbor, WA 98332-5812 - Phone
- (253) 426-6341
- Fax
- (253) 985-2999
- NPI assigned
- Jun 17, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD00049422 | WA | |
| Hospitalist Physician | 208M00000X | MD00049422 | WA | Primary |
Addresses
Primary practice location
11567 Canterwood Blvd
Gig Harbor, WA 98332-5812
Mailing address
1400 Pottery Ave
Port Orchard, WA 98366-3768
Phone (360) 895-5000
Other practice location 1
1400 Pottery Ave
Port Orchard, WA 98366-3711
Phone (360) 895-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093284 | Medicaid | WA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | agrover11555@fhsce.catholichealth.net | Direct | |
| SOAP URL | https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00049422 | WA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| F&M Healthcare, LLC | Internal Medicine | Current | Accepting new patients |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients |
Locations
1400 Pottery Ave
Port Orchard, WA 98366
Phone (360) 895-5000
200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530
9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800
6824 19th St W
#256
University Place, WA 98466
Phone (253) 777-1423
Interoperability endpoints
- agrover11555@fhsce.catholichealth.net
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- University Place, WA
- NPI 1861145120
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1396810701
-
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1386935351
-
- Multi-Specialty Clinic/Center
- Renton, WA
- NPI 1669619870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658275200000",
"number": "1962663567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 POTTERY AVE",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983663768",
"telephone_number": "360-895-5000",
"fax_number": "360-895-5034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11567 CANTERWOOD BLVD",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983325812",
"telephone_number": "253-426-6341",
"fax_number": "253-985-2999"
}
],
"practiceLocations": [
{
"address_1": "1400 Pottery Ave",
"address_purpose": "LOCATION",
"city": "Port Orchard",
"state": "WA",
"postal_code": "983663711",
"country_code": "US",
"telephone_number": "360-895-5000",
"fax_number": "360-895-5034",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GROVER",
"first_name": "ANJNA",
"middle_name": "RANI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-17",
"last_updated": "2022-07-20",
"certification_date": "2022-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD00049422",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WA",
"license": "MD00049422",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1093284",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "agrover11555@fhsce.catholichealth.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "11567 Canterwood Blvd",
"city": "Gig Harbor",
"state": "WA",
"country_code": "US",
"postal_code": "983325812",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "1400 Pottery Ave",
"city": "Port Orchard",
"state": "WA",
"country_code": "US",
"postal_code": "983663711",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Gig Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.