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ANTONIO M GRANDA M.D.
NPI 1780624023
Internal Medicine - Gastroenterology in Skowhegan, ME

Active since June 07, 2006PECOS Enrolled
46 FAIRVIEW AVE STE 221, SKOWHEGAN, ME 04976(207) 474-6945(207) 474-6933 Get Directions Write a Review

NPPES record last updated: November 4, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 4, 2021, Apr 8, 2019, Apr 5, 2019 (3 updates tracked since 2019).

About Antonio M Granda M.d. NPPES

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

ANTONIO M GRANDA M.D. (NPI 1780624023) is an individual gastroenterology provider in Skowhegan, Maine, licensed in Maine (MD23009) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1780624023
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameANTONIO M GRANDACredential: M.D.
Location Address46 FAIRVIEW AVE STE 221Skowhegan, ME 04976-1481
Mailing AddressPo Box 468Skowhegan, ME 04976-0468 · (207) 858-8353 · Fax (207) 474-9261
Phone(207) 474-6945
Fax(207) 474-6933
Sole ProprietorNo
Enumeration DateJune 7, 2006
Last NPPES UpdateNovember 4, 20213 updates tracked since enumeration
NPPES CertifiedNovember 4, 2021
✔ NPI 1780624023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in ME · MD23009✔ Licensed in OH · 35.143494✔ Licensed in TN · 9565
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 09565 (TN)
46 FAIRVIEW AVE STE 221, Skowhegan, ME 04976
Open in Google Maps ↗

Secondary Practice Locations 2

Location 14230 Harding Rd, Suite 400Nashville, TN 37205-2013 · Phone (615) 297-2700 · Fax (615) 269-4584
Location 210600 Montgomery RdMontgomery, OH 45242-4463 · Phone (513) 794-5600

Other Identifiers 13

MedicaidQ006396TN
Other1629728TN · Coventry/first Health
Other4066743TN · Aetna
Medicaid64746449KY
Other104697TN · United Health Care
Medicaid1507235TN
Other378643TN · Usa - Mco
Other100014907TN · Medicare Rr
Other10074063TN · Amerigroup Tncare And Amerivantage Mcr Advantage
Other12079645TN · Multiplan/phcs
Other1416751TN · Cigna
Other3164315TN · Blue Cross Of Tn
Other1100315241TN · Usa Ppo/geha

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Antonio M Granda M.d. 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 Reassignments

9

Medicare enrollment records show Antonio Granda reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tidalhealth Physician Network, Inc.
520 mi
Family Medicine
801 MIDDLEFORD RD
Seaford, DE 19973
  • Reassigned Medicare billing, Delaware enrollment
  • 179 clinicians in this Medicare group
NPI 1467534636 (302) 629-5217
Georgetown Physician Associates, LLC
910 mi
Physical Therapy
2200 CROW LN STE 201
Myrtle Beach, SC 29577
  • Reassigned Medicare billing, South Carolina enrollment
  • 266 clinicians in this Medicare group
NPI 1124673793 (843) 848-5220
Carle Health Medical Group
996 mi
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
NPI 1154653947 (217) 383-8300
Sumner Physician Practices LLC
1,034 mi
Surgery
133 HOSPITAL DR STE 700
Carthage, TN 37030
  • Reassigned Medicare billing, Tennessee enrollment
  • 110 clinicians in this Medicare group
NPI 1043739287 (615) 735-5159
Osf Multi-Specialty Group
1,048 mi
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group
NPI 1154908929 (309) 683-5050
Deaconess Illinois Specialty Clinic, Inc.
1,077 mi
Orthopaedic Surgery
1201 RICKER RD
Salem, IL 62881
  • Reassigned Medicare billing, Illinois enrollment
  • 228 clinicians in this Medicare group
NPI 1730896291 (182) 418-7916
Phoebe Family Medicine,coffee County
1,158 mi
Clinic/Center
200 DOCTORS DR, STE 224
Douglas, GA 31533
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Phoebe Physician Group Inc
  • 1,118 clinicians in this Medicare group
NPI 1477997278 (912) 384-2353
Phoebe Cancer Center Surgical Oncology
1,198 mi
Surgical Oncology
409 W 4TH AVE
Albany, GA 31701
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Phoebe Putney Memorial Hospital, Inc.
  • 264 clinicians in this Medicare group
NPI 1316193626 (229) 312-5080
Sanford Bismarck
1,498 mi
Multi-Specialty
565 S 7TH ST
Bismarck, ND 58504
  • Reassigned Medicare billing, North Dakota enrollment
  • 779 clinicians in this Medicare group
NPI 1811941172 (701) 323-5550

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 04976 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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 3

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

DR. LANCE TREVOR HOPKIN DPM
Podiatrist
46 FAIRVIEW AVE STE 221
SKOWHEGAN, ME 04976
Somerset County (207) 858-8130
DR. JEFFERY JOSEPH DOROCIAK M.D. PHD
Internal Medicine (Gastroenterology)
46 FAIRVIEW AVE STE 221
SKOWHEGAN, ME 04976
Somerset County (207) 474-6945
DR. MICHAEL J MONZEL MD
Internal Medicine (Gastroenterology)
46 FAIRVIEW AVE STE 221
SKOWHEGAN, ME 04976
Somerset County (207) 474-6945

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 Antonio Granda's NPI number?

The NPI number for Antonio Granda is 1780624023. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Antonio Granda located?

Antonio Granda practices at 46 Fairview Ave Ste 221, Skowhegan, ME 04976. The listed phone number is (207) 474-6945.

What is Antonio Granda's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Antonio Granda enrolled in Medicare?

Yes. Antonio Granda is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Antonio Granda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Antonio Granda reassigns Medicare benefits to 9 organizations: Tidalhealth Physician Network, Inc. (Seaford, DE), Georgetown Physician Associates, LLC (Myrtle Beach, SC), Carle Health Medical Group (Urbana, IL), Sumner Physician Practices LLC (Carthage, TN), Osf Multi-Specialty Group (Peoria, IL) and 4 more organizations, listed in the Medicare section above. Each 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 Antonio Granda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Antonio Granda accept?

Health plans from CareSource and Cigna Healthcare list Antonio Granda 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.

When was this NPI record last updated?

The NPPES record for Antonio Granda was last updated on November 4, 2021. 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.