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DR. RAUL GROSZ MD
NPI 1184653859
Psychiatry & Neurology - Neurology in Aventura, FL

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment
76.22/100
CMS Quality Rating
2801 NE 213TH ST STE 1004, AVENTURA, FL 33180(305) 936-9393(305) 936-9650 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jan 6, 2022, Mar 25, 2021, Dec 16, 2019 and 1 more (4 updates tracked since 2016).

About Dr. Raul Grosz Md NPPES

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

DR. RAUL GROSZ MD (NPI 1184653859) is an individual neurology provider in Aventura, Florida, licensed in Florida (ME49904) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Medical Center Of Florida, Inc, and is a graduate of State University Of New York At Buffalo School Of Medicine (1985).

NPPES Registry Identity

NPI1184653859
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. RAUL GROSZCredential: MD
Location Address2801 NE 213TH ST STE 1004Aventura, FL 33180-1265
Mailing Address9960 Nw 116th Way Ste 13Medley, FL 33178-1175 · (786) 924-1311 · Fax (786) 924-1313
Phone(305) 936-9393
Fax(305) 936-9650
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1985
Enumeration DateJuly 3, 2006
Last NPPES UpdateJanuary 6, 20224 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2022
✔ NPI 1184653859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in FL · ME49904
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
2801 NE 213TH ST STE 1004, Aventura, FL 33180
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Other Identifiers 2

Medicaid061799700FL
Other74775FL · Medicare Group

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, AvMed, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

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. Raul Grosz 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 ID3375622855
PECOS Enrollment IDI20080508000659
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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
260 services116 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
63 services63 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
57 services28 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
41 services32 patients
Measurement of brain wave activity (eeg), awake and asleep 95819
The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.
40 services39 patients
Nerve conduction, 7-8 studies 95910
Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps doctors identify nerve damage. In a 7-8 study procedure, 7-8 specific nerves are tested. You may feel a mild, brief tingling or shock during the test.
21 services21 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mount Sinai Medical Center Of Florida, Inc

Acute Care Hospitals · Miami Beach, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100034
Location4300 Alton RdMiami Beach, FL 33140 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33180 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.74
Promoting Interoperability96
Improvement Activities40
Cost54.18

Other Providers at the Same Location NPPES 2

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

DR. JEFFREY BARTON GELBLUM MD
Psychiatry & Neurology (Neurology)
2801 NE 213TH ST STE 1004
AVENTURA, FL 33180
Miami-Dade County (305) 936-9393
AIMEE HERNANDEZ ARNP
Nurse Practitioner (Family)
2801 NE 213TH ST STE 1004
AVENTURA, FL 33180
Miami-Dade County (305) 936-9393

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 Raul Grosz's NPI number?

The NPI number for Raul Grosz is 1184653859. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Raul Grosz located?

Raul Grosz practices at 2801 NE 213th St Ste 1004, Aventura, FL 33180. The listed phone number is (305) 936-9393.

What is Raul Grosz's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Raul Grosz enrolled in Medicare?

Yes. Raul Grosz 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.

What insurance does Raul Grosz accept?

Health plans from AmeriHealth Caritas Next, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Raul Grosz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Raul Grosz affiliated with any hospitals?

According to CMS data, Raul Grosz is affiliated with Mount Sinai Medical Center Of Florida, Inc.

When was this NPI record last updated?

The NPPES record for Raul Grosz was last updated on January 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.