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GRANT TATRO MD
NPI 1093410672
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Active since April 03, 2023PECOS Enrolled
22 S GREENE ST RM N3E0, BALTIMORE, MD 21201(410) 328-6110 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 3, 2024, Apr 3, 2023 (2 updates tracked since 2023).

About Grant Tatro Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRANT TATRO MD (NPI 1093410672) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in San Jose.

NPPES Registry Identity

NPI1093410672
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGRANT TATROCredential: MD
Location Address22 S GREENE ST RM N3E0Baltimore, MD 21201-1544
Mailing Address22 S Greene St Rm N3e0Baltimore, MD 21201-1544 · (410) 328-6110
Phone(410) 328-6110
Sole ProprietorNo
Enumeration DateApril 3, 2023
Last NPPES UpdateJuly 3, 20242 updates tracked since enumeration
NPPES CertifiedJuly 3, 2024
✔ NPI 1093410672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

22 S GREENE ST RM N3E0, Baltimore, MD 21201
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Secondary Practice Location 1

Location 1751 S Bascom AveSan Jose, CA 95128-2604 · Phone (408) 885-5110

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grant Tatro Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grant Tatro's NPI number?

The NPI number for Grant Tatro is 1093410672. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Grant Tatro located?

Grant Tatro practices at 22 S Greene St Rm N3e0, Baltimore, MD 21201. The listed phone number is (410) 328-6110.

What is Grant Tatro's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Grant Tatro enrolled in Medicare?

Yes. Grant Tatro is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Grant Tatro was last updated on July 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.