Matthew F Grady, MD
Pediatrics, Sports Medicine in Philadelphia, PA. Individual provider (NPI-1).
NPI number1366470429
StatusActive
Last updated in NPPESJun 3, 2016
Details
- NPI
- 1366470429
- Entity type
- Individual (NPI-1)
- Name
- Matthew F Grady
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2006
- Last updated
- Jun 3, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - ORTHOPEDIC SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080S0010X | Pediatrics, Sports Medicine | MD073748L | PA | Yes |
| 208000000X | Pediatrics | C10006565 | DE |
Practice location
3401 Civic Center BlvdChildren'S Surgical Hospital Of Philadelphia
Philadelphia, PA 19104-4319
Phone 215-590-1527 · Fax 215-590-1501
Mailing address
100 East Penn SquareThe Wanamaker Building 9th Fl
Philadelphia, PA 19107-3323
Phone 267-425-9538 · Fax 267-425-9552
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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