Individual provider Active NPI

Craig M. Grose, M.D.

  • Family Medicine Physician
  • Fillmore, UT
National Provider Identifier
1003854878
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3243941205 Issued in UT
Practice address
716 S Highway 99
Fillmore, UT 84631-5134
Phone
(435) 864-3333
Fax
(435) 864-2790
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3243941205 UT Primary

Addresses

Primary practice location

716 S Highway 99
Fillmore, UT 84631-5134

Mailing address

1055 North 500 West Attn: Credentialing
Provo, UT 84604-3305
Phone (801) 354-8225

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address medreview@reverehealth.com Central Utah Clinic, P.C.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040205001317 UT Practitioner - Family Practice 2466345087 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
George Washington University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ihc Health Services Inc 3,948 clinicians
Revere Health PC 407 clinicians

Practice addresses (Care Compare)

1380 E Medical Ctr Dr
St George, UT 84790-2123

674 S Hwy 99
Fillmore, UT 84631-5013
Phone (435) 743-5591

770 S Hwy 99
Fillmore, UT 84631
Phone (435) 253-8000

Hospital & facility affiliations

  • At Home Health Care Home health agency, Salina, UT, CCN 467112
  • Intermountain Health Home Health - Mt. Pleasant Home health agency, Mt. Pleasant, UT, CCN 467016
  • At Home Hospice Hospice, Salina, UT, CCN 461530
  • Intermountain Health Fillmore Community Hospital Hospital, Fillmore, UT, CCN 461301
  • Intermountain Health Utah Valley Hospital Hospital, Provo, UT, CCN 460001
  • Intermountain Health Sevier Valley Hospital Hospital, Richfield, UT, CCN 460026

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of skin lesions44
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3243941205UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc CurrentSince Sep 9, 2018 Accepting new patients
Revere Health PC CurrentSince Oct 1, 2018 Accepting new patients
Ihc Health Services Inc Family Medicine Current Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Revere Health PC CurrentSince Oct 1, 2018 Accepting new patients
Ihc Health Services, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Ihc Health Services Inc CurrentSince Sep 9, 2018 Accepting new patients

Locations

126 White Sage Ave
Delta, UT 84624
Phone (435) 864-5591

674 S Highway 99
Fillmore, UT 84631
Phone (435) 743-5555

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

770 S Highway 99
Fillmore, UT 84631
Phone (435) 253-8000

700 S Highway 99
Fillmore, UT 84631
Phone (435) 743-5555

1055 N 500 W
Ste 212
Provo, UT 84604
Phone (801) 374-2362

1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000

1000 N Main St
Richfield, UT 84701
Phone (435) 893-4100

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355

Interoperability endpoints

  • Direct secure messaging: craiggrose@cuccu.allscriptsdirect.net

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1003854878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 NORTH 500 WEST ATTN: CREDENTIALING",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043305",
            "telephone_number": "801-354-8225",
            "fax_number": "801-418-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 S HIGHWAY 99",
            "city": "FILLMORE",
            "state": "UT",
            "postal_code": "846315134",
            "telephone_number": "435-864-3333",
            "fax_number": "435-864-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSE",
        "first_name": "CRAIG",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "3243941205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "medreview@reverehealth.com",
            "affiliation": "Y",
            "affiliationName": "Central Utah Clinic, P.C.",
            "address_1": "770 S Highway 99",
            "city": "Fillmore",
            "state": "UT",
            "country_code": "US",
            "postal_code": "846315033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fillmore, UT

Sources for this page

Verify at the official NPI Registry.