NPIMap

Individual provider Active NPI

Neera Grover, MD

  • Gastroenterology Physician
  • Apple Valley, CA
National Provider Identifier
1023169489
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A53155 Issued in CA
Practice address
16018 Tuscola Rd
Apple Valley, CA 92307-1329
Phone
(760) 242-0375
NPI assigned
Jan 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A53155 CA Primary
Hepatology Physician 207RI0008X A53155 CA

Addresses

Primary practice location

16018 Tuscola Rd
Apple Valley, CA 92307-1329

Mailing address

16018 Tuscola Rd
Apple Valley, CA 92307-1329
Phone (760) 242-0375

Other identifiers 1

IdentifierTypeStateIssuer
00A531550MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040719000856 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 7517946916 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grover Gastro Surgical CorporationGroup PAC ID 7315182847, 2 clinicians
Desert Valley Medical Group IncGroup PAC ID 4880595875, 78 clinicians

Practice addresses (Care Compare)

16018 Tuscola Rd
Suite 2
Apple Valley, CA 92307-1329
Phone (760) 242-0375

16850 Bear Valley Rd
Victorville, CA 92395-5794
Phone (760) 241-8000

Hospital & facility affiliations

  • Desert Valley Hospital Hospital, Victorville, CA, CCN 050709
  • Barstow Community Hospital Hospital, Barstow, CA, CCN 050298
  • Victor Valley Global Medical Center Hospital, Victorville, CA, CCN 050517
  • Providence St Mary Medical Center Hospital, Apple Valley, CA, CCN 050300
  • Bear Valley Community Hospital Hospital, Big Bear Lake, CA, CCN 051335

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy162
Upper gastrointestinal (GI) endoscopy for acid reflux167

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Valley Medical Group, Inc. Family Medicine CurrentSince Jun 8, 1994 Accepting new patients
Desert Valley Medical Group, Inc CurrentSince Jun 8, 1994 Accepting new patients
Desert Valley Medical Group, Inc. Current Accepting new patients
Choice Physicians Network, Inc. PastSince Jun 8, 2014 Accepting new patients
St. Mary Medical Center Past Accepting new patients
Victor Valley Community Hospital Past Accepting new patients
Hospital of Barstow Inc Past Accepting new patients
Desert Valley Hospital, LLC Past Accepting new patients

Locations

16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222

16850 Bear Valley Rd
Ste 204
Victorville, CA 92395

16850 Bear Valley Rd
Ste 100
Victorville, CA 92395

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ngrover@yourcarecommunity.org

Organizations & group practices 9

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": "1168732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1023169489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16018 TUSCOLA RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071329",
            "telephone_number": "760-242-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16018 TUSCOLA RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071329",
            "telephone_number": "760-242-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVER",
        "first_name": "NEERA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-14",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A53155",
            "primary": true
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "CA",
            "license": "A53155",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A531550",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

Verify at the official NPI Registry.