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SAMUEL ROBERT GRODOFSKY MD
NPI 1932426566
Anesthesiology in Bala Cynwyd, PA

Active since April 21, 2010PECOS EnrolledAccepts Medicare Assignment
1 BALA AVE STE 418, BALA CYNWYD, PA 19004(215) 366-2803(267) 337-7950 Get Directions Write a Review

NPPES record last updated: December 26, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 26, 2019, Apr 5, 2019, Jan 24, 2017 (3 updates tracked since 2017).

About Samuel Robert Grodofsky Md NPPES

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

SAMUEL ROBERT GRODOFSKY MD (NPI 1932426566) is an individual anesthesiology provider in Bala Cynwyd, Pennsylvania, licensed in Pennsylvania (MD451221) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2010).

NPPES Registry Identity

NPI1932426566
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameSAMUEL ROBERT GRODOFSKYCredential: MD
Location Address1 BALA AVE STE 418Bala Cynwyd, PA 19004-3207
Mailing Address1 Bala Ave Ste 418Bala Cynwyd, PA 19004-3207 · (215) 366-2803 · Fax (267) 337-7950
Phone(215) 366-2803
Fax(267) 337-7950
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2010
Enumeration DateApril 21, 2010
Last NPPES UpdateDecember 26, 20193 updates tracked since enumeration
✔ NPI 1932426566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in PA · MD451221
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License MD451221 (PA)
1 BALA AVE STE 418, Bala Cynwyd, PA 19004
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samuel Robert Grodofsky Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527284991
PECOS Enrollment IDI20140721000266
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

3

Medicare enrollment records show Samuel Grodofsky reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Philadelphia Smart Pain & Wellness, P.C.
0.5 mi
Pain Medicine
1 BALA AVE STE LL3
Bala Cynwyd, PA 19004
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Philadelphia Smart Pain & Wellness PC
  • 4 clinicians in this Medicare group
NPI 1093257776 (215) 366-2803
Temple Physicians Inc.
1.4 mi
Family Medicine
525 JAMESTOWN ST, SUITE 201
Philadelphia, PA 19128
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 447 clinicians in this Medicare group
NPI 1316098635 (215) 214-2412
Fox Chase Pain Management Associates, PC
16 mi
Specialist
4979 OLD STREET RD, SUITE B
Trevose, PA 19053
  • Reassigned Medicare billing, New Jersey and Pennsylvania enrollments
  • 2 clinicians in this Medicare group
NPI 1881649416 (267) 288-5601

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
218 services97 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
217 services17 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
111 services63 patients
Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician 62370
This procedure involves a physician checking and adjusting your spinal canal drug infusion pump. The pump's programming is updated electronically and the medication reservoir is refilled, ensuring effective pain management and optimal device performance.
58 services11 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
44 services44 patients
Injection of trigger points, 3 or more muscles 20553
Trigger point injection therapy involves injecting medication into specific areas of your muscles, known as trigger points. These are areas that produce pain and discomfort. If you have three or more muscles affected, each will be treated individually.
21 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES

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

GENESIS KETAMINE CENTERS
Anesthesiology
1 BALA AVE STE 418
BALA CYNWYD, PA 19004
Montgomery County (267) 361-0315

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 Samuel Grodofsky's NPI number?

The NPI number for Samuel Grodofsky is 1932426566. It was assigned to this individual provider in the NPPES registry on April 21, 2010.

Where is Samuel Grodofsky located?

Samuel Grodofsky practices at 1 Bala Ave Ste 418, Bala Cynwyd, PA 19004. The listed phone number is (215) 366-2803.

What is Samuel Grodofsky's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Samuel Grodofsky enrolled in Medicare?

Yes. Samuel Grodofsky is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Samuel Grodofsky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Grodofsky reassigns Medicare benefits to 3 organizations: Philadelphia Smart Pain & Wellness, P.C. (Bala Cynwyd, PA), Temple Physicians Inc. (Philadelphia, PA) and Fox Chase Pain Management Associates, PC (Trevose, PA). 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 Samuel Grodofsky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Samuel Grodofsky affiliated with any hospitals?

According to CMS data, Samuel Grodofsky is affiliated with Hospital Of Univ Of Pennsylvania.

When was this NPI record last updated?

The NPPES record for Samuel Grodofsky was last updated on December 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.