DR. KENNETH P GROSSMAN MD
NPI 1104847953
Internal Medicine in Boston, MA

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
1 BOSTON MEDICAL CENTER PLACE, FASTER PATHS 1N64, BOSTON, MA 02118(617) 414-4580(617) 414-4572 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 5, 2024, Oct 4, 2022, Dec 21, 2020 and 1 more (4 updates tracked since 2019).

About Dr. Kenneth P Grossman Md NPPES

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

DR. KENNETH P GROSSMAN MD (NPI 1104847953) is an individual internal medicine provider in Boston, Massachusetts, licensed in Massachusetts (48029) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (1979).

NPPES Registry Identity

NPI1104847953
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. KENNETH P GROSSMANCredential: MD
Location Address1 BOSTON MEDICAL CENTER PLACE, FASTER PATHS 1N64Boston, MA 02118
Mailing Address960 Massachusetts Ave, Fl2 Provider EnrollmentBoston, MA 02118-3791 · (617) 414-4580
Fax(617) 414-4572
Sole ProprietorYes
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 1979
Enumeration DateJuly 21, 2006
Last NPPES UpdateApril 5, 20244 updates tracked since enumeration
NPPES CertifiedApril 2, 2024
NPI 1104847953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MA · 48029
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1 BOSTON MEDICAL CENTER PLACE, Boston, MA 02118

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kenneth P Grossman Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375855000
PECOS Enrollment IDI20190730004398
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02118 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
1 BOSTON MEDICAL CENTER PLACE
BOSTON, MA 02118
Physician Assistant
1 BOSTON MEDICAL CENTER PLACE, C500
BOSTON, MA 02118
Counselor (Mental Health)
1 BOSTON MEDICAL CENTER PLACE
BOSTON, MA 02118
Case Manager/Care Coordinator
1 BOSTON MEDICAL CENTER PLACE
BOSTON, MA 02118
Social Worker (Clinical)
1 BOSTON MEDICAL CENTER PLACE, DOWLING 9
BOSTON, MA 02118
Psychologist (Clinical)
1 BOSTON MEDICAL CENTER PLACE
BOSTON, MA 02118
Social Worker (Clinical)
1 BOSTON MEDICAL CENTER PLACE
BOSTON, MA 02118
Nurse Anesthetist, Certified Registered
1 BOSTON MEDICAL CENTER PLACE
BOSTON, MA 02118

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 Kenneth Grossman's NPI number?

The NPI number for Kenneth Grossman is 1104847953. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Kenneth Grossman located?

Kenneth Grossman practices at 1 Boston Medical Center Place Faster Paths 1n64, Boston, MA 02118. The listed phone number is (617) 414-4580.

What is Kenneth Grossman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kenneth Grossman enrolled in Medicare?

Yes. Kenneth Grossman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kenneth Grossman was last updated on April 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.