{"npi":"1225080385","type":"NPI-1","status":"active","name":{"display":"Dr. Keith Grams M.D.","other":[],"first":"KEITH","last":"GRAMS","credential":"M.D."},"specialty":{"primary_taxonomy":"207P00000X","primary_taxonomy_description":"Emergency Medicine","slug":"emergency-medicine","schema_org_specialty":"Emergency","all":[{"code":"207P00000X","description":"Emergency Medicine","primary":true,"state":"NY","license":"227072"}]},"addresses":[{"purpose":"LOCATION","street_1":"1415 PORTLAND AVE","city":"ROCHESTER","state":"NY","postal_code":"146213038","country_code":"US","street_2":"SUITE 305","phone":"5859224638","fax":"5859225573"},{"purpose":"MAILING","street_1":"1415 PORTLAND AVE","city":"ROCHESTER","state":"NY","postal_code":"146213038","country_code":"US","street_2":"SUITE 305","phone":"5859224638","fax":"5859225573"}],"license":{"state":"NY","number":"227072"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"02825152","state":"NY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20070515000027","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"NY","pac_id":"0244337954"}]},"enumeration_date":"2006-05-17","last_updated":"2010-05-12","_meta":{"source":"NPPES","snapshot_date":"2010-05-12","doc_url":"https://findmynpi.com/api"}}