GILBERT GROSSMAN (MD) – Cardiovascular Disease Physician, NPI 1124092739

GILBERT GROSSMAN (MD) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in Cardiovascular Disease Physician. They hold the professional credentials MD. They hold a License No. MD026156L (PA). The NPI Number for GILBERT GROSSMAN (MD) is 1124092739

Main info

Male
69 Years Of Experience
Accepts Medicare Assignment
Name
GILBERT GROSSMAN (MD)
NPI
1124092739
Phone
(267) 479-4142
Address
207 N BROAD ST
Enumeration Date
13 February 2006
Last Update Date
17 May 2018

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2159556161
Graduation Year
1957 (69 years ago)
PAC ID
9537200316
Group Practice PAC ID
6406755651
Professional Enrollment ID
I20091231000355
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for GILBERT GROSSMAN (MD)

  • 207, North Broad Street, Fashion District Philadelphia, Philadelphia, Philadelphia County, Pennsylvania, 19121, United States

    3RD FLR.

    PHILADELPHIA, PA 191071500

    Phone: (267) 479-4142

    Fax: (215) 463-3820

    Type: Mailing

  • 700, Cottman Avenue, Burholme, Cheltenham Township, Montgomery County, Pennsylvania, 19111, United States

    BLDG B, SUITE 101

    PHILADELPHIA, PA 19111

    Phone: (215) 745-4100

    Fax: (215) 745-9565

    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: 2009-12-31

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
I20091231000355ICardiovascular Disease (Cardiology)PATBD

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 19107)

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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: 6406755651View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)PA
-PA
Physician AssistantPA
Certified Registered Nurse Anesthetist (Crna)PA
Thoracic Surgery, Vascular SurgeryPA
Cardiovascular Disease (Cardiology)PA
Interventional Cardiology, Cardiovascular Disease (Cardiology)CA
Gastroenterology, Internal MedicinePA
Physical Medicine And RehabilitationPA
G A S T R O E N T E R O L O G YNJ

Reviews

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Frequently asked questions

Can I use this page to confirm GILBERT GROSSMAN (MD)'s NPI?
Yes. GILBERT GROSSMAN (MD) is listed with NPI 1124092739 in the public NPI dataset.
Can I rely on GILBERT GROSSMAN (MD) being an active provider?
As of the registry snapshot, GILBERT GROSSMAN (MD) is marked active.
What healthcare role does GILBERT GROSSMAN (MD) hold?
Scheduling teams often label GILBERT GROSSMAN (MD) under Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Does GILBERT GROSSMAN (MD) list a practice location?
Patients near Philadelphia, Pennsylvania may find GILBERT GROSSMAN (MD) in results; validate coverage separately.
Why does GILBERT GROSSMAN (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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