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JUSTIN KURTIS GRANT SR. MD
NPI 1841981693
Student in an Organized Health Care Education/Training Program in Dorchester, MA

Active since May 15, 2023PECOS Enrolled
2100 DORCHESTER AVE, DORCHESTER, MA 02124(617) 296-4000 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Justin Kurtis Grant Sr. Md NPPES

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

JUSTIN KURTIS GRANT SR. MD (NPI 1841981693) is an individual student in an organized health care education/training program in Dorchester, Massachusetts and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841981693
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJUSTIN KURTIS GRANT SR.Credential: MD
Location Address2100 DORCHESTER AVEDorchester, MA 02124-5615
Mailing Address2100 Dorchester AveDorchester, MA 02124-5615
Phone(617) 296-4000
Sole ProprietorYes
Enumeration DateMay 15, 2023
NPPES CertifiedMay 8, 2023
✔ NPI 1841981693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 3014062 (MA)
2100 DORCHESTER AVE, Dorchester, MA 02124
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin Kurtis Grant Sr. 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.

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.

ELENA ROTFELD
Pharmacist
2100 DORCHESTER AVE, SEMC GPU AT CARNEY HOSPITAL
DORCHESTER, MA 02124
Suffolk County (617) 506-4536
DR. DANA MARIE HORNBEAK M.D., M.P.H.
Internal Medicine
2100 DORCHESTER AVE, CARITAS CARNEY HOSPITAL, 7 SOUTH
DORCHESTER, MA 02124
Suffolk County (617) 506-2726
CARITAS CARNEY HOSPITAL
Durable Medical Equipment & Medical Supplies
2100 DORCHESTER AVE
DORCHESTER CENTER, MA 02124
Suffolk County (617) 296-4000
CARITAS CARNEY HOSPITAL
Long Term Care Hospital
2100 DORCHESTER AVE
DORCHESTER CENTER, MA 02124
Suffolk County (617) 296-4000
BRECKON DANIEL PAV M.D.
Emergency Medicine
2100 DORCHESTER AVE
DORCHESTER, MA 02124
Suffolk County (617) 296-4000
RAMNINDER SINGH NAGRA MD
Internal Medicine
2100 DORCHESTER AVE
DORCHESTER, MA 02124
Suffolk County (617) 506-2726
DONNA L SPRINGS MD
Emergency Medicine
2100 DORCHESTER AVE
DORCHESTER CENTER, MA 02124
Suffolk County (617) 296-4000
MUSTAFA M SYED MD
Psychiatry & Neurology (Psychiatry)
2100 DORCHESTER AVE
DORCHESTER CENTER, MA 02124
Suffolk County (617) 296-4000

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 Justin Grant's NPI number?

The NPI number for Justin Grant is 1841981693. It was assigned to this individual provider in the NPPES registry on May 15, 2023.

Where is Justin Grant located?

Justin Grant practices at 2100 Dorchester Ave, Dorchester, MA 02124. The listed phone number is (617) 296-4000.

What is Justin Grant's specialty?

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

Is Justin Grant enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Justin Grant was last updated on May 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.