Deactivated NPI 1659676153 Deactivated / Inactive NPI Male Practitioner

Dr. Elmer R. Grossman , MD

Pediatrics • Berkeley, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Elmer Grossman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 14, 2011

NPI Deactivation Date September 02, 2020

Total Practice Duration ~9 Years of Practice (2011 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Elmer Grossman, MD was a registered Pediatrics practicing in Berkeley, CA. Throughout an active medical career spanning 9 years, Dr. Grossman provided care at the practice location at 899 EUCLID AVE until profile deactivation on 2020-09-02.

Practice Location & Contact Primary Location

Practice Address

899 Euclid Ave

Berkeley, CA 947081305

Telephone 5105269614

Fax 5105278907

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Berkeley, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 31.3 Yrs

State Avg: 22.5 Yrs

Regional Practice Density

55 Specialists

Practicing in Berkeley, CA (9612 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CA AFE16001

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

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NPI Profile Deactivated September 02, 2020

Record deactivated on September 02, 2020

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NPI Profile Active January 14, 2011

NPI status registered as active in NPPES database

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Updated Practice Location January 14, 2011

Registered at 899 EUCLID AVE, BERKELEY, CA 947081305 (Tel: 5105269614)

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Updated Business Mailing Address January 14, 2011

Registered at 899 EUCLID AVE, BERKELEY, CA 947081305 (Tel: 5105269614)

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Provider Name / Credentials Updated January 14, 2011

Recorded as ELMER GROSSMAN, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2011

Pediatrics (License #AFE16001 in CA)

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Initial NPI Registration & Enumeration January 14, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659676153

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 14, 2011

Last Update: January 14, 2011

Deactivation Date: September 02, 2020

Update or Correct Profile

Mailing Address

899 Euclid Ave

Berkeley, CA 947081305

Phone: 5105269614

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.