JADRY GRUEN MD
NPI 1558898452
Internal Medicine - Cardiovascular Disease in Wynnewood, PA
About Jadry Gruen Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JADRY GRUEN MD (NPI 1558898452) is an individual cardiovascular disease provider in Wynnewood, Pennsylvania, licensed in Pennsylvania (MD475795) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jadry Gruen 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.
Medicare Billing Reassignment
Medicare enrollment records show Jadry Gruen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Newtown Square, PA 19073
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,638 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hospital Of Univ Of Pennsylvania
Acute Care Hospitals · Philadelphia, PABryn Mawr Hospital
Acute Care Hospitals · Bryn Mawr, PAPaoli Hospital
Acute Care Hospitals · Paoli, PAMain Line Hospital Lankenau
Acute Care Hospitals · Wynnewood, PARiddle Memorial Hospital
Acute Care Hospitals · Media, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19096 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WYNNEWOOD, PA 19096
WYNNEWOOD, PA 19096
WYNNEWOOD, PA 19096
WYNNEWOOD, PA 19096
WYNNEWOOD, PA 19096
WYNNEWOOD, PA 19096
WYNNEWOOD, PA 19096
WYNNEWOOD, PA 19096
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 Jadry Gruen's NPI number?
The NPI number for Jadry Gruen is 1558898452. It was assigned to this individual provider in the NPPES registry on May 23, 2017.
Where is Jadry Gruen located?
Jadry Gruen practices at 100 E Lancaster Avenue Heart Pavilion Mezzanine Level, Wynnewood, PA 19096. The listed phone number is (484) 476-1000.
What is Jadry Gruen's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Jadry Gruen enrolled in Medicare?
Yes. Jadry Gruen 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.
Which organization bills Medicare for Jadry Gruen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jadry Gruen reassigns Medicare benefits to Main Line Healthcare (Newtown Square, PA). The 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 Jadry Gruen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jadry Gruen affiliated with any hospitals?
According to CMS data, Jadry Gruen is affiliated with Hospital Of Univ Of Pennsylvania, Bryn Mawr Hospital, Paoli Hospital, Main Line Hospital Lankenau and Riddle Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Jadry Gruen was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Jadry Gruen, MD · NPI 1558898452
Cardiovascular Disease physician in Wynnewood, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 23, 2017.
## Identity
- **NPI:** 1558898452 (Entity type: Individual)
- **Enumerated:** May 23, 2017
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **State license:** MD475795 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 100 E LANCASTER AVENUE, HEART PAVILION MEZZANINE LEVEL, Wynnewood, PA 19096-3450
- **Phone:** (484) 476-1000 · **Fax:** (484) 476-9000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Main Line Healthcare (NPI 1922077643, Newtown Square, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York At Stony Brook, School Of Medicine, class of 2017
## Record status
- **NPPES last updated:** September 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1558898452) · Data from the CMS NPPES public registry.