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DR. RUSS D. GRANICH MD
NPI 1962580589
Family Medicine - Hospice and Palliative Medicine in Hartford, CT

Active since November 01, 2006PECOS Enrolled
89.74/100
CMS Quality Rating
659 TOWER AVE, HARTFORD, CT 06112(860) 763-7600 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 19, 2025, Apr 13, 2023, May 25, 2021 and 2 more (5 updates tracked since 2020).

About Dr. Russ D. Granich Md NPPES

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

DR. RUSS D. GRANICH MD (NPI 1962580589) is an individual hospice and palliative medicine provider in Hartford, Connecticut, licensed in Connecticut (067712) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in West Hartford.

NPPES Registry Identity

NPI1962580589
Entity TypeIndividualMale
Primary Taxonomy207QH0002X
Provider Legal NameDR. RUSS D. GRANICHCredential: MD
Location Address659 TOWER AVEHartford, CT 06112-1259
Mailing Address104 Ridgewood RdWest Hartford, CT 06107-2927 · (510) 928-5848
Phone(860) 763-7600
Sole ProprietorNo
Enumeration DateNovember 1, 2006
Last NPPES UpdateMarch 19, 20255 updates tracked since enumeration
NPPES CertifiedMarch 19, 2025
✔ NPI 1962580589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QH0002X
Licenses✔ Licensed in CT · 067712✔ Licensed in CA · G50400
Definition
A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X · License G50400 (CA)
Also ListedInternal MedicineTaxonomy 207R00000X · License 067712 (CT), G50400 (CA)
659 TOWER AVE, Hartford, CT 06112
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Secondary Practice Location 1

Location 1104 Ridgewood RdWest Hartford, CT 06107-2927 · Phone (510) 928-5848 · Fax (860) 483-5139

Other Identifiers 1

Medicaid00G504000CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Russ D. Granich 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.

Medicare Billing Reassignment

Medicare enrollment records show Russ Granich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

East Bay Integrated Care, Inc
2,602 mi
Home Health
3470 BUSKIRK AVE
Pleasant Hill, CA 94523
  • Reassigned Medicare billing, California enrollment
  • 17 clinicians in this Medicare group
NPI 1205946555 (925) 887-5678

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 11

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
463 services154 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
379 services132 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
234 services84 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
181 services138 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
108 services57 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
106 services54 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06112 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost32.48

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 Russ Granich's NPI number?

The NPI number for Russ Granich is 1962580589. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Russ Granich located?

Russ Granich practices at 659 Tower Ave, Hartford, CT 06112. The listed phone number is (860) 763-7600.

What is Russ Granich's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207QH0002X.

Is Russ Granich enrolled in Medicare?

Yes. Russ Granich is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Russ Granich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Russ Granich reassigns Medicare benefits to East Bay Integrated Care, Inc (Pleasant Hill, CA). 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 Russ Granich'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 Russ Granich was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.