GRANT JOE DO
NPI 1609714583
Student in an Organized Health Care Education/Training Program in Gaithersburg, MD

Active since March 23, 2026PECOS Enrolled
655 WATKINS MILL RD, GAITHERSBURG, MD 20879(240) 632-4000 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Grant Joe Do NPPES

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

GRANT JOE DO (NPI 1609714583) is an individual student in an organized health care education/training program in Gaithersburg, Maryland and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2026).

NPPES Registry Identity

NPI1609714583
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGRANT JOECredential: DO
Location Address655 WATKINS MILL RDGaithersburg, MD 20879-3301
Mailing Address655 Watkins Mill RdGaithersburg, MD 20879-3301
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2026
Enumeration DateMarch 23, 2026
NPPES CertifiedMarch 23, 2026
✔ NPI 1609714583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
655 WATKINS MILL RD, Gaithersburg, MD 20879

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grant Joe Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416414164
PECOS Enrollment IDI20260812003352
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 Grant Joe reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
655 WATKINS MILL RD
Gaithersburg, MD 20879
  • Reassigned Medicare billing, District of Columbia enrollment
  • 2,492 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.

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.

Pediatrics
655 WATKINS MILL RD
GAITHERSBURG, MD 20879
Student in an Organized Health Care Education/Training Program
655 WATKINS MILL RD
GAITHERSBURG, MD 20879
Emergency Medicine
655 WATKINS MILL RD
GAITHERSBURG, MD 20879
Pharmacist
655 WATKINS MILL RD
GAITHERSBURG, MD 20879
Registered Nurse (Lactation Consultant)
655 WATKINS MILL RD
GAITHERSBURG, MD 20879
General Acute Care Hospital
655 WATKINS MILL RD
GAITHERSBURG, MD 20879
Radiologic Technologist (Computed Tomography)
655 WATKINS MILL RD
GAITHERSBURG, MD 20879
Audiologist
655 WATKINS MILL RD
GAITHERSBURG, MD 20879

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 Grant Joe's NPI number?

The NPI number for Grant Joe is 1609714583. It was assigned to this individual provider in the NPPES registry on March 23, 2026.

Where is Grant Joe located?

Grant Joe practices at 655 Watkins Mill Rd, Gaithersburg, MD 20879. The listed phone number is (240) 632-4000.

What is Grant Joe's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Grant Joe enrolled in Medicare?

Yes. Grant Joe is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Grant Joe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grant Joe reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Gaithersburg, MD). 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 Grant Joe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Grant Joe was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.