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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: August 16, 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.

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 ↗

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 Blue Cross Blue Shield of North Dakota, CareSource, Medica.Insurance ›

Medicare Participation & PECOS CMS

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

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.

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.

What insurance does Antonio Granda accept?

Health plans from Blue Cross Blue Shield of North Dakota, CareSource and Medica 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.