Active NPI
Samuel L Grossman, DO
- Pediatrics Physician
- Battle Creek, MI
National Provider Identifier
1972565513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 5101010868
- Practice address
- 181 W Emmett St
Battle Creek, MI 49037-2963 - Phone
- (269) 966-2600
- Fax
- (269) 965-4773
- NPI assigned
- Apr 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 5101010868 | MI | Primary |
Addresses
Primary practice location
181 W Emmett St
Battle Creek, MI 49037-2963
Mailing address
181 W Emmett St
Battle Creek, MI 49037-2963
Phone (269) 966-2600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4461230 | Medicaid | MI | |
| 3368240 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196899200000",
"number": "1972565513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "181 W EMMETT ST",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490372963",
"telephone_number": "269-966-2600",
"fax_number": "269-965-4773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 W EMMETT ST",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490372963",
"telephone_number": "269-966-2600",
"fax_number": "269-965-4773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSSMAN",
"first_name": "SAMUEL",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2007-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "5101010868",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4461230",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3368240",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Battle Creek, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.