MICHAEL THOMAS GRONDIN (PA) – Physician Assistant, NPI 1457531865

MICHAEL THOMAS GRONDIN (PA) is a healthcare provider. based in Pembroke pines, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA9104351 (FL). The NPI Number for MICHAEL THOMAS GRONDIN (PA) is 1457531865

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL THOMAS GRONDIN (PA)
NPI
1457531865
Phone
(954) 963-6500
Address
2301 NORTH UNIVERSITY DR
Enumeration Date
14 November 2007
Last Update Date
15 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9544239234
Graduation Year
2007 (19 years ago)
PAC ID
5193861334
Group Practice PAC ID
9234115460
Professional Enrollment ID
I20091001000511
Address ID
FL333245842DA2337XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:18State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for MICHAEL THOMAS GRONDIN (PA)

  • 2301, North University Drive, Pembroke Pines, Broward County, Florida, 33024, United States

    SUITE 112

    PEMBROKE PINES, FL 33024

    Phone: (954) 963-6500

    Fax: (954) 963-6233

    Type: Mailing

  • 601, Northwest 179th Avenue, Pembroke Pines, Broward County, Florida, 33029, United States

    SUITE 104

    PEMBROKE PINES, FL 330292819

    Phone: (954) 431-2122

    Fax: (954) 432-9013

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-10-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091001000511IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes870180$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes344122$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes8943$0
99316Nursing facility discharge management, more than 30 minutes1313$0
99213Established patient office or other outpatient visit, 20-29 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 33024)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9234115460View full group profile
NameSpecialtyState
-FL
Physician AssistantFL
Family Practice, General PracticeFL
Physician AssistantFL
Physician AssistantFL

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Frequently asked questions

What is the registry number for MICHAEL THOMAS GRONDIN (PA)?
The registry entry for MICHAEL THOMAS GRONDIN (PA) shows NPI 1457531865.
Is MICHAEL THOMAS GRONDIN (PA)'s NPI status active today?
Active status means MICHAEL THOMAS GRONDIN (PA)'s NPI record is not deactivated in the public file.
Which specialty label fits MICHAEL THOMAS GRONDIN (PA)?
NPPES ties MICHAEL THOMAS GRONDIN (PA) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to MICHAEL THOMAS GRONDIN (PA)?
MICHAEL THOMAS GRONDIN (PA) shows a connection to Pembroke Pines, Florida in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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