Alin Gragossian, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

OT017251 Issued in PA

Practice address

1 Guthrie Dr
Corning, NY 14830-3696

Phone

(607) 937-7200

Fax

(888) 220-6560

NPI assigned

Jun 16, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, OR, TX, MS4 enrollments

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 4

Specialty

Emergency Medicine

Education

Lincoln Memorial University Medical Department, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ccmma Ca PCGroup PAC ID 5991172207, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grande Ronde Hospital Hospital, La Grande, OR, CCN 381321

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations (25 of 27)

Interoperability endpoints

• Direct secure messaging: agragossian1254911@direct.sw.org
• Direct secure messaging: alin.gragossian.1@14883.direct.athenahealth.com

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.

• Ccmma Ca PC

  • Critical Care Medicine (Anesthesiology) Physician
  • Redding, CA
  • NPI 1679293443

  CA

  Medicare reassignment Care Compare group NPD
• Ccmma SC LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Sumter, SC
  • NPI 1245715796

  OR

  Medicare reassignment NPD
• Copiah County Medical Center

  • Critical Access Hospital
  • Hazlehurst, MS
  • NPI 1588667281

  MS

  Medicare reassignment NPD
• Ccmma TX PLLC

  • Anesthesiology Physician
  • New York, NY
  • NPI 1841829819

  TX

  Medicare reassignment
• Copiah County Medical Center

  • Rural Health Clinic/Center
  • Crystal Springs, MS
  • NPI 1972603819
  NPD
• Corning Hospital

  • General Acute Care Hospital
  • Corning, NY
  • NPI 1346241973

  Emergency Medicine

  NPD (past)
• Guthrie Cortland Medical Center

  • General Acute Care Hospital
  • Cortland, NY
  • NPI 1740287531
  NPD (past)
• Ccmma NJ LLC

  • Critical Care Medicine (Anesthesiology) Physician
  • Passaic, NJ
  • NPI 1124543095
  NPD (past)
• Grande Ronde Hospital, Inc.

  • Critical Access Hospital
  • La Grande, OR
  • NPI 1467446195
  NPD (past)
• Integris Bass Baptist Health Center

  • Family Medicine Physician
  • Garber, OK
  • NPI 1528060019
  NPD (past)
• Palmetto Health Tuomey

  • Skilled Nursing Facility
  • Sumter, SC
  • NPI 1316963481
  NPD (past)
• Robert Packer Hospital

  • General Acute Care Hospital
  • Sayre, PA
  • NPI 1083614382
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Grande Ronde Hospital

  • Pediatrics Physician
  • La Grande, OR
  • NPI 1861434615

  Hospital

  Care Compare affiliation
• Grande Ronde Hospital Inc.

  • Obstetrics & Gynecology Physician
  • La Grande, OR
  • NPI 1972545895

  Hospital

  Care Compare affiliation
• Grande Ronde Hospital, Inc.

  • Primary Care Clinic/Center
  • La Grande, OR
  • NPI 1174553929

  Hospital

  Care Compare affiliation
• Grande Ronde Hospital, Inc.

  • Critical Access Hospital
  • La Grande, OR
  • NPI 1467446195

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1962852301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631917",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452631917",
            "telephone_number": "845-702-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GUTHRIE DR",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148303696",
            "telephone_number": "607-937-7200",
            "fax_number": "888-220-6560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 South Front St.",
            "address_2": "Brady 3 Building",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "17104",
            "country_code": "US",
            "telephone_number": "818-807-9990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "134 Homer Ave",
            "address_purpose": "LOCATION",
            "city": "Cortland",
            "state": "NY",
            "postal_code": "130451206",
            "country_code": "US",
            "telephone_number": "607-756-3500",
            "fax_number": "888-220-6560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Guthrie Sq",
            "address_purpose": "LOCATION",
            "city": "Sayre",
            "state": "PA",
            "postal_code": "188401625",
            "country_code": "US",
            "telephone_number": "570-888-6666",
            "fax_number": "888-220-6560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAGOSSIAN",
        "first_name": "ALIN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-16",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OT017251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Llyn Goode, MSW
• Kyle Goodrich, PHARMD.
• Ruth Nanette Goodwin, MSW
• John David Gordon, PAC
• Melanie Gotcher, MSW
• Elizabeth Ann Green
• Herman Bernard Greulick, OD
• Kathleen Ann Grottenthaler, RN
• John Wallace Gunselman, DMD
• Guthrie Clinic LTD.

• All providers in Corning, NY
• Emergency Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.