Bethany Ann Cook Grothe, M.D.

Key facts

NPI

1033435276

Entity type

Individual (NPI type 1)

Primary specialty

Dermatology Physician 207N00000X

License

55589 (MN)

Practice address

3555 Willow Lake Blvd Ste 240
Vadnais Heights, MN 55110-4464

Phone

(651) 770-0110

NPI assigned

Apr 13, 2010

Sex

Female

Sole proprietor

No

Organizations & group practices 1

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.

• Dermatology Consultants, PA Dermatology Physician · Woodbury, MN · NPI 1568567139
  Medicare reassignment Care Compare group NPD DERMATOLOGY · MN

Medicare Care Compare profile

Specialty

Dermatology

Education

University of Minnesota Medical School, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Consultants, PA (23 clinicians)

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

79.99 of 100 (group)

Quality

61.48

Promoting interoperability

93

Improvement activities

40

Cost

77.67

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bcook@dermcons.encitedirect.com

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 1, 2022.

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1033435276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 WILLOW LAKE BLVD STE 240",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551104464",
            "telephone_number": "651-770-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 WILLOW LAKE BLVD STE 240",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551104464",
            "telephone_number": "651-770-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK GROTHE",
        "first_name": "BETHANY",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-13",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MN",
            "license": "55589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Vadnais Heights, MN · Dermatology Physician in Minnesota