DR. SUZANNE MATTOS GRONDIN DPM NPI 1639217276

NPI Information

  • NPI: 1639217276
  • Provider Name: DR. SUZANNE MATTOS GRONDIN, DPM
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 123 SUMMER ST
    SUITE 550
    WORCESTER, MA
    ZIP 01608
  • Phone: (508) 363-6868

Map and Directions

Get Directions

NPI Details

DR. Suzanne Mattos Grondin, DPM is a podiatrist in Worcester, MA with 20 years of experience. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. DR. Suzanne Mattos Grondin, DPM NPI is 1639217276. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

123 SUMMER ST
SUITE 550
WORCESTER, MA
ZIP 01608-216
Phone: (508) 363-6868
Fax: (508) 363-6866

The NPI 1639217276 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).

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.

  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Trimming of dystrophic nails, any number (HCPCS:G0127)
  • Removal of fingernails or toenails, 1-5 nails (HCPCS:11720)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)

The enumeration date for this NPI number is 2/4/2007 and was last updated on 4/25/2016.

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
1213E00000XPodiatrist2319MASSACHUSETTSYes

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
1AA84858OTHERMASSACHUSETTSHARVARD PILGRIM HEALTH
2466883OTHERMASSACHUSETTSTUFTS HEALTH PLAN
3Y71137OTHERMASSACHUSETTSBLUE SHEILD OF MA
4LX5470MEDICARE PINMASSACHUSETTS
50711772MEDICAIDMASSACHUSETTS
65081510001MEDICARE NSCMASSACHUSETTS
7121815OTHERMASSACHUSETTSFALLON HEALTH PLAN
8V11876MEDICARE UPINMASSACHUSETTS

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: 3/30/2025

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.

Previous NPI
Next NPI