Dr Derek William Grady, MD - Medicare Radiology in Salt Lake City, UT

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Dr Derek William Grady, MD is a medicare enrolled "Radiology - Neuroradiology" physician in Salt Lake City, Utah. His current practice location is 30 N Mario Capecchi Rm 2s100, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 581-2121.

Dr Derek William Grady is licensed to practice in Utah (license number 14212374-1205) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174940027.

Contact Information

Dr Derek William Grady, MD
30 N Mario Capecchi Rm 2s100,
Salt Lake City, UT 84112
(801) 581-2121
Not Available

Map and Direction




Physician's Profile

Full NameDr Derek William Grady
GenderMale
SpecialityRadiology - Neuroradiology
Location30 N Mario Capecchi Rm 2s100, Salt Lake City, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174940027
  • Provider Enumeration Date: 03/27/2014
  • Last Update Date: 03/26/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0941689103
  • Enrollment ID: I20221122001634

Medical Identifiers

Medical identifiers for Dr Derek William Grady such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174940027NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 0116027479 (Virginia)Secondary
2085N0700XRadiology - Neuroradiology 14212374-1205 (Utah)Primary
2085R0202XRadiology - Diagnostic Radiology 0101258688 (Virginia)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Derek William Grady allows following entities to bill medicare on his behalf.
Entity NameAdventist Health Delano
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578798047
PECOS PAC ID: 1254248016
Enrollment ID: O20040303000739
Entity NameSouthern Inyo Healthcare District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831128602
PECOS PAC ID: 7911816731
Enrollment ID: O20040317000188
Entity NameHanford Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538141627
PECOS PAC ID: 7416868377
Enrollment ID: O20040325000272
Entity NameUkiah Adventist Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235120676
PECOS PAC ID: 6406816123
Enrollment ID: O20041015000818
Entity NameUsc Care Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902846306
PECOS PAC ID: 0446157747
Enrollment ID: O20050512000412
Entity NameSan Joaquin Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538157508
PECOS PAC ID: 1557390580
Enrollment ID: O20050810000537
Entity NameKc Tan, M.d. Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215394036
PECOS PAC ID: 2062719719
Enrollment ID: O20160324000980
Entity NameAdventist Health Medical Center Tehachapi
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275538530
PECOS PAC ID: 1456646629
Enrollment ID: O20170124000729
Entity NameRadiologica Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073000105
PECOS PAC ID: 8820337769
Enrollment ID: O20190311002513
Entity NameAdventist Health Tulare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801366711
PECOS PAC ID: 4385988757
Enrollment ID: O20201221001163
Entity NameReedley Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336167550
PECOS PAC ID: 0941460984
Enrollment ID: O20201224000078
Entity NameAdvanced Radiology And Interventional Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669123626
PECOS PAC ID: 2163816448
Enrollment ID: O20220302002290
Entity NameAdventist Health Mendocino Coast
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538113725
PECOS PAC ID: 3678990769
Enrollment ID: O20220620001667

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Derek William Grady is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Derek William Grady, MD
30 N Mario Capecchi Rm 2s100,
Salt Lake City, UT 84112

Ph: (801) 581-2121		Dr Derek William Grady, MD
30 N Mario Capecchi Rm 2s100,
Salt Lake City, UT 84112

Ph: (801) 581-2121

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.