Grandel Medical – Primary Care Clinic/Center, NPI 1992721047

Grandel Medical is a healthcare provider. based in Saint louis, Missouri. specializing in Primary Care Clinic/Center. The organization holds a License No. MO100186 (MO). The NPI Number for Grandel Medical is 1992721047

Main info

Organization
Name
Grandel Medical
NPI
1992721047
Phone
(314) 481-7030
Address
4346 LOUGHBOROUGH AVE
Authorized Official
MR. ALEXANDER RUDOI PHYSICIAN MD
Enumeration Date
14 July 2006
Last Update Date
13 November 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Grandel Medical

  • 4346, Loughborough Avenue, Boulevard Heights, City of Saint Louis, Missouri, 63116, United States

    SAINT LOUIS, MO 631162104

    Phone: (314) 481-7030

    Fax: (314) 481-7120

    Mailing address matches the actual address.

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 63116)

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Reviews

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Frequently asked questions

Is there an official ID for Grandel Medical in U.S. healthcare records?
The official identifier for Grandel Medical is NPI 1992721047.
Active or inactive — what applies to Grandel Medical?
You should see Grandel Medical as active in CMS-hosted NPPES data.
What expertise is attributed to Grandel Medical?
Grandel Medical's specialty line reads Primary Care Clinic/Center. Clinical services aligned with this taxonomy classification.
What locale is associated with Grandel Medical?
Directory geography for Grandel Medical centers on Saint Louis, Missouri.
When was this NPI issued?
Enumeration for Grandel Medical is noted as July 14, 2006 where the registry provides it.

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