SCOTT W GRISOLANO (M.D.) – Gastroenterology Physician, NPI 1215030127

SCOTT W GRISOLANO (M.D.) is a healthcare provider. based in Kansas city,, Kansas. specializing in GASTROENTEROLOGY. They hold the professional credentials M.D.. They hold a License No. 2004001450 (MO). The NPI Number for SCOTT W GRISOLANO (M.D.) is 1215030127

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT W GRISOLANO (M.D.)
NPI
1215030127
Phone
(913) 588-6003
Address
3901 RAINBOW BLVD, RM 4035
Enumeration Date
6 September 2006
Last Update Date
11 July 2024

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
8165612000
Graduation Year
1998 (28 years ago)
PAC ID
7012998248
Group Practice PAC ID
3274558549
Professional Enrollment ID
I20040525001006
Address ID
MO641115936KA4321XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

128 GASTROENTEROLOGY in KS

Provider Addresses for SCOTT W GRISOLANO (M.D.)

  • 3901 RAINBOW BLVD, RM 4035

    WESCOE MAILSTOP 1023

    KANSAS CITY,, KS 66160

    Phone: (913) 588-6003

    Fax: (913) 588-3975

    Type: Mailing

  • 3901 Rainbow Blvd, Rm 4035

    Wescoe Mailstop 1023

    Kansas City,, KS 66160

    Phone: (913) 588-6000

    Type: Location

  • PO BOX 843966

    KANSAS CITY, MO 641843966

    Phone: (573) 884-3300

    Fax: (573) 884-0943

    Type: Mailing

  • ONE HOSPITAL DR

    COLUMBIA, MO 652120001

    Phone: (573) 884-8445

    Fax: (573) 884-5318

    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: 2004-05-25

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
I20040525001006IGastroenterologyMOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66160)

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Provider's Procedures

SCOTT W GRISOLANO (M.D.) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYKS43235Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope4442

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: 3274558549View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YMO
G A S T R O E N T E R O L O G YMO
-MO
G A S T R O E N T E R O L O G YMO
-MO
Physician AssistantKS
G A S T R O E N T E R O L O G YIL

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Frequently asked questions

How do I look up SCOTT W GRISOLANO (M.D.) by NPI?
Use NPI 1215030127 when you need to reference SCOTT W GRISOLANO (M.D.) in forms, claims, or directories.
Is SCOTT W GRISOLANO (M.D.) active in the national directory?
SCOTT W GRISOLANO (M.D.)'s public NPI profile is in an active state.
What field does SCOTT W GRISOLANO (M.D.) work in?
You can think of SCOTT W GRISOLANO (M.D.) as practicing within Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for SCOTT W GRISOLANO (M.D.)?
The page summarizes Kansas City,, Kansas for SCOTT W GRISOLANO (M.D.); expand the address list for detail.
How can I contact SCOTT W GRISOLANO (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.