Individual provider Active NPI

Peter Alan Grant, MD

  • Physical Medicine & Rehabilitation Physician
  • Medford, OR
National Provider Identifier
1992862296
Registry record updated Nov 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD14454 Issued in OR
Practice address
473 Murphy Rd
Medford, OR 97504-8143
Phone
(541) 772-3200
Fax
(541) 772-1048
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD14454 OR Primary

Addresses

Primary practice location

473 Murphy Rd
Medford, OR 97504-8143

Mailing address

473 Murphy Rd
Medford, OR 97504-8143
Phone (541) 772-3200

Other identifiers 1

IdentifierTypeStateIssuer
124271MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110221000918 OR Practitioner - Physical Medicine and Rehabilitation 9436143179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peter a Grant MD PCGroup PAC ID 7012901754, 3 clinicians

Practice addresses (Care Compare)

473 Murphy Rd
Medford, OR 97504-8143
Phone (541) 772-3200

Merit-based Incentive Payment System (MIPS)

Final score
80.83 of 100Reported as group
Quality
61.67
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peter a Grant MD PC Physical Medicine & Rehabilitation CurrentSince Apr 14, 2004 Accepting new patients
Peter Grant MD Physical Medicine & Rehabilitation PastSince Jan 1, 1990 Accepting new patients

Locations

1100 NE 7th St
Ste A
Grants Pass, OR 97526
Phone (541) 772-3200

473 Murphy Rd
Medford, OR 97504
Phone (541) 772-3200

Interoperability endpoints

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384214400000",
    "number": "1992862296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 MURPHY RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048143",
            "telephone_number": "541-772-3200",
            "fax_number": "541-772-1048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 MURPHY RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048143",
            "telephone_number": "541-772-3200",
            "fax_number": "541-772-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "PETER",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2013-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OR",
            "license": "MD14454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124271",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.