Douglas Grossman, M.D

NPI: 1124040704

Douglas Grossman, M.D

Q: What is Douglas Grossman's NPI number?

Douglas Grossman's NPI number is 1124040704, a unique 10-digit identifier issued by CMS.

Q: What does Douglas Grossman specialize in?

Douglas Grossman specializes in Dermatology, taxonomy code 207NS0135X.

Q: Where does Douglas Grossman practice?

Douglas Grossman practices in Salt Lake City, UT 84132-1100.

Q: When was Douglas Grossman's NPI issued?

Douglas Grossman's NPI was issued on July 24, 2006.

Q: What is Douglas Grossman's provider type?

Douglas Grossman is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderDermatology

NPI issued: July 24, 2006

Quick Facts

NPI Number

1124040704

TypeIndividual

StatusActive

SpecialtyDermatology

Taxonomy207NS0135X — Dermatology

Phone

(801) 581-2955

StateUT

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1124040704)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (July 24, 2006)

Data source: CMS NPPES

Provider Overview

DOUGLAS GROSSMAN, M.D is a Dermatology provider based in Salt Lake City, UT who has been registered with CMS since 2006. They are affiliated with University Of Utah. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1124040704

Provider TypeIndividual Provider

GenderMale

CredentialM.D

StatusActive

Enumeration DateJuly 24, 2006

Practice Location

CitySalt Lake City

StateUT

ZIP Code84132-1100

Phone(801) 581-2955

Specialties & Licenses

★ Primary

SpecialtyDermatology

Taxonomy Code207NS0135X

License StateUT

Mailing Address

CitySalt Lake City

StateUT

ZIP Code84132-1100

Phone(801) 581-2955

Same as practice location

Hospital & Organization Affiliations

🏢

University Of Utah

📍 Salt Lake City, UT

Hospital NPIY→

Other Providers at University Of Utah

How to Use This NPI

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For Insurance Billing

Use NPI 1124040704 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1124040704for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1124040704 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Dermatology

Dermatologists specialize in the medical, surgical, and cosmetic treatment of disorders affecting the skin, hair, nails, and mucous membranes.

Browse all Dermatologyproviders →

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