Robert Grant

Surgery, Surgical Oncology in Boston, MA. Individual provider (NPI-1).

NPI number1922530179

StatusActive

Last updated in NPPESSep 30, 2026

Details

NPI: 1922530179
Entity type: Individual (NPI-1)
Name: Robert Grant
Sex: Male
Sole proprietor: No
Enumeration date: Mar 28, 2017
Certification date: Sep 30, 2026
Last updated: Sep 30, 2026

Medicare and OIG

Medicare enrolled (PECOS): Yes · ORDER AND REFERRING ONLY - GENERAL 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
2086X0206X	Surgery, Surgical Oncology	1028824	MA	Yes
208600000X	Surgery	1028824	MA

Practice location

330 Brookline Ave # Shapiro3
Boston, MA 02215-5491

Phone 617-632-1020 · Fax 617-632-1019

Mailing address

330 Brookline Ave
Boston, MA 02215-5491

Phone 617-632-1020 · Fax 617-632-1019

Is something wrong?

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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