Keith Della Grotta, MD | |
18101 Prince Philip Drive, Emergency Department, Olney, MD 20832 | |
(301) 774-8882 | |
Not Available |
Full Name | Keith Della Grotta |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 9 Years |
Location | 18101 Prince Philip Drive, Olney, Maryland |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235505611 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | D0100145 (Maryland) | Primary |
207P00000X | Emergency Medicine | A160993 (California) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
West Hills Hospital & Medical Center | West hills, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Team Physicians Of Northern California Medical Group Inc | 7113215146 | 96 |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Entity Name | Sherman Oaks Emergency Medical Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518904150 PECOS PAC ID: 1557377736 Enrollment ID: O20060224000406 |
Entity Name | West Hills Emergency Medical Associates, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275761249 PECOS PAC ID: 6800949553 Enrollment ID: O20090729000217 |
Entity Name | Team Physicians Of Northern California Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649692716 PECOS PAC ID: 7113215146 Enrollment ID: O20161006002407 |
Mailing Address | Practice Location Address |
---|---|
Keith Della Grotta, MD 907 Westwood Blvd Unit 310, Los Angeles, CA 90024-2904 Ph: (310) 692-1626 | Keith Della Grotta, MD 18101 Prince Philip Drive, Emergency Department, Olney, MD 20832 Ph: (301) 774-8882 |
Jeremy H Graf, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 18101 Prince Philip Dr, Olney, MD 20832 Phone: 301-774-8900 Fax: 301-570-8574 | |
Kerri H Suissa, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 18101 Prince Philip Dr, Olney, MD 20832 Phone: 301-774-8900 Fax: 301-570-8574 | |
Michael K Kerr, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 18101 Prince Philip Dr, Montgomery General Hospital, Olney, MD 20832 Phone: 301-774-8900 Fax: 301-570-8574 | |
Ellen L Smith, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 18101 Prince Philip Dr, Olney, MD 20832 Phone: 301-774-8900 Fax: 301-570-8574 | |
Dr. Jeffrey Uribe, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 18101 Prince Philip Dr, Olney, MD 20832 Phone: 301-774-8882 | |
Robert F Larkin, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 18101 Prince Philip Drive, Montgomery General Hospital, Olney, MD 20832 Phone: 301-774-8900 Fax: 301-570-8574 |