EILEEN C DE GRANDIS MD NPI 1336379478

NPI Information

  • NPI: 1336379478
  • Provider Name: EILEEN C DE GRANDIS, MD
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 670 GLADES RD STE 100
    BOCA RATON, FL
    ZIP 33431
  • Phone: (561) 955-3500

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NPI Details

Eileen C De Grandis, MD is a vascular surgery surgery in Boca Raton, FL with 17 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Eileen C De Grandis, MD NPI is 1336379478. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2009

The provider's business location address is:

670 GLADES RD STE 100
BOCA RATON, FL
ZIP 33431-462
Phone: (561) 955-3500

The NPI 1336379478 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 office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Ultrasound of one leg arteries or artery grafts (HCPCS:93926)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Limited ultrasound scan behind abdominal cavity (HCPCS:76775)
  • Insertion of tunneled central venous tube for infusion (5 years or older) (HCPCS:36558)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Review by radiologist of arm or leg artery image (HCPCS:75710)
  • Ultrasound of hemodialysis access (HCPCS:93990)
  • Insertion of non-tunneled central venous tube for infusion (5 years or older) (HCPCS:36556)
  • Review by radiologist of abdominal aorta image (HCPCS:75625)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Removal of tunneled central venous tube (HCPCS:36589)
  • Varicose vein removal (HCPCS:NAN08)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 7/23/2009 and was last updated on 6/3/2021.

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
1208600000XSurgery52974MINNESOTANo
22086S0129XSurgeryVascular SurgeryME127513FLORIDAYes
3390200000XStudent in an Organized Health Care Education/Training ProgramNo

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
1ENROLLEDMEDICAIDMINNESOTA
2ENROLLEDMEDICAIDIOWA

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

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