Edith Grannum MD PC
NPI 1104003235 · Family Medicine Physician · Rochester, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Edith Grannum MD PC is a Family Medicine Physician organization in Rochester, NY (NPI 1104003235).
Provider details
- NPI number
- 1104003235
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Edith Grannum, Medical Director(585) 233-1366
- License
- 210929 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-01-31
- Last updated
- 2008-03-19
Frequently asked questions
- What is Edith Grannum MD PC's NPI number?
- Edith Grannum MD PC's National Provider Identifier (NPI) is 1104003235, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Edith Grannum MD PC?
- Edith Grannum MD PC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Edith Grannum MD PC located?
- Edith Grannum MD PC's practice location on file with NPPES is 1815 S Clinton Ave, Rochester, NY 14618-5720.
- What is Edith Grannum MD PC's phone number?
- The practice phone number listed in the NPPES registry for Edith Grannum MD PC is (585) 233-1366.
- Does Edith Grannum MD PC accept Medicare?
- Edith Grannum MD PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Edith Grannum MD PC?
- The authorized official listed on Edith Grannum MD PC's NPPES record is Edith Grannum, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Edith Grannum MD PC's NPI active?
- Yes — Edith Grannum MD PC's NPI (1104003235) is active in the NPPES registry as of the last update on 2008-03-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.