Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew Griscom, MD

Individual provider Emergency Medicine Physician · NPI 1538142328

Andrew Griscom, MD is an Emergency Medicine in Pawtucket, Rhode Island. Graduated from Jefferson Medical College of Thomas Jefferson University in 1989, 37 years ago. Practices with Cep America LLC, a 985-clinician group and accepts Medicare assignment. Licensed in Connecticut and Rhode Island.

Years since qualifying
37
Trained at
Jefferson Medical College of Thomas Jefferson University
Licensed in
CT, RI
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

111 Brewster St Dept OF Emergency Medicine
Pawtucket, RI 02860-4400
Phone: (401) 729-2191
Fax: (401) 729-2517
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 34668 (CT)
Emergency Medicine Physician Taxonomy 207P00000X · Licence MD09664 (RI)

Record details

NPI number1538142328
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 25, 2005
Last updated in NPPESMay 15, 2023
Certification dateMay 15, 2023
Mailing address111 Brewster St, Department Of Emergency Medicine, Pawtucket, RI 02860-4400

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolJEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated 1989 (37 years in practice)
Group practice Cep America Llc — 985 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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