Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KONSTANTIN GRUENWALD MD
NPI 1609498070
Radiology - Vascular & Interventional Radiology in Oklahoma City, OK

Q: What is Konstantin Gruenwald's NPI number?

The NPI number for Konstantin Gruenwald is 1609498070. It was assigned to this individual provider in the NPPES registry on May 8, 2020.

Q: What is Konstantin Gruenwald's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Active since May 08, 2020PECOS Enrolled

4300 W MEMORIAL RD, OKLAHOMA CITY, OK 73120(405) 755-1515 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 5, 2026, May 8, 2020 (2 updates tracked since 2020).

On this page

About Dr. Konstantin Gruenwald Md NPPES

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

DR. KONSTANTIN GRUENWALD MD (NPI 1609498070) is an individual vascular & interventional radiology provider in Oklahoma City, Oklahoma, licensed in Oklahoma (50454) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609498070

Entity TypeIndividualMale

Primary Taxonomy2085R0204X

Provider Legal NameDR. KONSTANTIN GRUENWALDCredential: MD

Location Address4300 W MEMORIAL RDOklahoma City, OK 73120-8304

Mailing Address4300 W Memorial RdOklahoma City, OK 73120-8304 · (405) 755-1515

Phone(405) 755-1515

Sole ProprietorNo

Enumeration DateMay 8, 2020

Last NPPES UpdateAugust 5, 20262 updates tracked since enumeration

NPPES CertifiedAugust 5, 2026

✔ NPI 1609498070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0204X

License✔ Licensed in OK · 50454

Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Also ListedNuclear Medicine · Nuclear Imaging & TherapyTaxonomy 207UN0902X · License 50454 (OK)

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 50454 (OK)

4300 W MEMORIAL RD, Oklahoma City, OK 73120

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Konstantin Gruenwald Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73120 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

Most-billed visit code 99213

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.

IMARI ELENA MOORE M.D.

Obstetrics & Gynecology