GRAND MEDICAL GROUP PC
NPI 1124107438
Clinic/Center - Primary Care in New York, NY
About Grand Medical Group Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRAND MEDICAL GROUP PC (NPI 1124107438) is a healthcare organization registered as a primary care in New York, New York and active in the NPI registry since November 2006. The organization lists Alla Savransky, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Grand Medical Group Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Grand Medical Group PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Grand Medical Group PC's NPI number?
The NPI number for Grand Medical Group PC is 1124107438. It was assigned to this organization in the NPPES registry on November 6, 2006.
Where is Grand Medical Group PC located?
Grand Medical Group PC is located at 457 Fdr Dr, New York, NY 10002. The listed phone number is (212) 260-0690.
What is Grand Medical Group PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Grand Medical Group PC enrolled in Medicare?
Yes. Grand Medical Group PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Grand Medical Group PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Grand Medical Group PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Grand Medical Group PC was last updated on January 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Grand Medical Group Pc · NPI 1124107438
Primary Care organization in New York, New York. Organization record, active in the CMS NPPES registry since November 6, 2006.
## Identity
- **NPI:** 1124107438 (Entity type: Organization)
- **Enumerated:** November 6, 2006
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Alla Savransky, PRESIDENT
## Practice location
- **Address:** 457 FDR DR, New York, NY 10002-5954
- **Phone:** (212) 260-0690 · **Fax:** (212) 254-4694
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 8, 2014
- **Other identifiers:** Medicare UPIN H27605 (NY); Medicare ID-Type Unspecified WEY461 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1124107438) · Data from the CMS NPPES public registry.