James Grijalva, M.D.
NPI 1518249515 · Surgery Physician · Bronx, NY
Enrolled with Medicare as Practitioner - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James Grijalva, M.D. is a Surgery Physician provider in Bronx, NY (NPI 1518249515).
Provider details
- NPI number
- 1518249515
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD60761691 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
14 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
95 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 67 | $127 |
| Initial Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 40 Minutes99221 | 16 | $80 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 12 | $77 |
Typical Medicare-allowed amounts for these services range $77–$127 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-09-15
- Last updated
- 2021-10-29
- Certified
- 2021-10-29
Frequently asked questions
- What is James Grijalva's NPI number?
- James Grijalva's National Provider Identifier (NPI) is 1518249515, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James Grijalva's specialty?
- James Grijalva is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is James Grijalva located?
- James Grijalva's practice location on file with NPPES is 3400 Bainbridge Ave, Bronx, NY 10467-2404.
- What is James Grijalva's phone number?
- The practice phone number listed in the NPPES registry for James Grijalva is (718) 920-5411.
- Does James Grijalva accept Medicare?
- James Grijalva is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is James Grijalva's NPI active?
- Yes — James Grijalva's NPI (1518249515) is active in the NPPES registry as of the last update on 2021-10-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.