ELIZABETH GRADY
NPI 1578634820
Pediatrics in San Mateo, CA

Q: What is Elizabeth Grady's NPI number?

The NPI number for Elizabeth Grady is 1578634820. It was assigned to this individual provider in the NPPES registry on November 10, 2006.

Q: What is Elizabeth Grady's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Grady was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since November 10, 2006PECOS Enrolled

222 W 39TH AVE, SAN MATEO, CA 94403(650) 573-2222 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Elizabeth Grady NPPES

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

ELIZABETH GRADY (NPI 1578634820) is an individual pediatrics provider in San Mateo, California, licensed in California (G79216) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578634820

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameELIZABETH GRADY

Location Address222 W 39TH AVESan Mateo, CA 94403-4364

Mailing Address222 W 39th AveSan Mateo, CA 94403-4364

Phone(650) 573-2222

Sole ProprietorNo

Enumeration DateNovember 10, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1578634820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · G79216

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

222 W 39TH AVE, San Mateo, CA 94403

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Other Identifiers 1

Medicaid00G792160CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Grady 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.

Medicare Billing Reassignment

Medicare enrollment records show Elizabeth Grady reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of San Mateo

Same address

Multi-Specialty

222 W 39TH AVE
San Mateo, CA 94403

Reassigned Medicare billing, California enrollment
Also billed through NPI 1114005105 (California)
430 clinicians in this Medicare group

NPI 1831268580 (650) 573-3702

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94403 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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.

DR. LORENA MICHEL PSY.D.

Psychologist (Clinical)