KENNETH RANDELL GROSSMAN M.D. NPI 1184684672

NPI Information

  • NPI: 1184684672
  • Provider Name: KENNETH RANDELL GROSSMAN, M.D.
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 580 COLLINS DR
    MERCED, CA
    ZIP 95348
  • Phone: (209) 383-0989

Map and Directions

Get Directions

NPI Details

Kenneth Randell Grossman, M.D. is an ophthalmology in Merced, CA with 44 years of experience. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. Kenneth Randell Grossman, M.D. NPI is 1184684672. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduation Year:1982

The provider's business location address is:

580 COLLINS DR
MERCED, CA
ZIP 95348-121
Phone: (209) 383-0989
Fax: (209) 383-6836

The NPI 1184684672 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient complete exam of visual system (HCPCS:92014)
  • Established patient problem focused exam of visual system (HCPCS:92012)
  • Injection, onabotulinumtoxina, 1 unit (HCPCS:J0585)
  • Imaging of retina (HCPCS:92134)
  • Photography of the retina (HCPCS:92250)
  • Injection of drug into eye (HCPCS:67028)
  • Injection, aflibercept, 1 mg (HCPCS:J0178)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Exam of visual field with extended testing (HCPCS:92083)
  • New patient complete exam of visual system (HCPCS:92004)
  • Injection, bevacizumab, 10 mg (HCPCS:J9035)
  • Imaging of optic nerve (HCPCS:92133)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Measurement of corneal curvature and depth of eye (HCPCS:92136)
  • Closure of tear duct opening using plug (HCPCS:68761)
  • Removal of eyelashes using forceps (HCPCS:67820)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Removal of foreign body from external eye (conjunctiva) (HCPCS:65205)
  • Dilation of tear drainage opening (HCPCS:68801)
  • Exam of the internal drainage system of eye (HCPCS:92020)
  • Removal of foreign body from external eye (conjunctiva or sclera) (HCPCS:65210)
  • Incision and drainage of cyst of eye (HCPCS:68020)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Compounded drug, not otherwise classified (HCPCS:J7999)
  • Dilation to improve eye fluid flow (HCPCS:66174)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66991)
  • Ct scan of cornea (HCPCS:92025)
  • Exam of retinal blood vessels using a special camera after injection of a dye (HCPCS:92235)
  • 2d ultrasound scan of eye tissue and structures (HCPCS:76512)
  • Photography of content of eyes (HCPCS:92285)
  • Extended exam of the back part of the eye with retinal drawing (HCPCS:92201)
  • Insertion of probe into nasal tear duct (HCPCS:68810)
  • Incision to improve eye fluid flow (HCPCS:65820)
  • Exam of retinal blood vessels using an endoscope after injection of a dye (HCPCS:92230)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Cataract surgery (HCPCS:NAN11)

The enumeration date for this NPI number is 3/27/2006 and was last updated on 7/6/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmologyG50711CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1ZZZ00927ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2GR0087430MEDICAIDCALIFORNIA
3A51785MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.