NPIMap

Individual provider Active NPI

John Paul Greving, DO

  • Internal Medicine Physician
  • Hannibal, MO
National Provider Identifier
1043388036
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2006005512 Issued in MO
Practice address
6500 Hospital Dr
Hannibal, MO 63401-6890
Phone
(573) 629-3400
Fax
(573) 629-3414
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2006005512 MO Primary

Addresses

Primary practice location

6500 Hospital Dr
Hannibal, MO 63401-6890

Mailing address

6500 Hospital Dr
Hannibal, MO 63401-6890
Phone (573) 629-3400

Other identifiers 1

IdentifierTypeStateIssuer
204917702MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20070316000214 MO Practitioner - Internal MedicinePractitioner - Family Practice 8729054119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hannibal Regional Healthcare System IncGroup PAC ID 1254236300, 256 clinicians

Practice addresses (Care Compare)

102 E Marion St
Paris, MO 65275-1041
Phone (660) 327-4911

400 S Ctr St
Shelbina, MO 63468-1404
Phone (573) 588-4131

6000 Hospital Dr
Hannibal, MO 63401-6887

6500 Hospital Dr
Hannibal, MO 63401-6890
Phone (573) 248-1300

Hospital & facility affiliations

  • Hannibal Regional Hospital Home Health Agency Home health agency, Hannibal, MO, CCN 267282
  • St. Croix Hospice Hospice, Moberly, MO, CCN 261570
  • Hannibal Regional Hospital Hospital, Hannibal, MO, CCN 260025
  • Blessing Hospital Hospital, Quincy, IL, CCN 140015
  • University of Missouri Health Care Hospital, Columbia, MO, CCN 260141
  • Beloved Health and Rehabilitation Center Nursing home, Hannibal, MO, CCN 265462
  • Westview Nursing Home Nursing home, Center, MO, CCN 265423
  • Luther Manor Retirement & Nursing Center Nursing home, Hannibal, MO, CCN 265690
  • Beth Haven Nursing Home Nursing home, Hannibal, MO, CCN 265108

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2006005512MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hannibal Regional Healthcare System, Inc CurrentSince Jan 1, 2007 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Mennonite Home Association Inc. Past Accepting new patients
Hannibal Regional Healthcare System, Inc Past Accepting new patients
Beloved Health and Rehabilitation Center LLC Past Accepting new patients
Hannibal Regional Healthcare System, Inc Past Accepting new patients

Locations

6000 Hospital Dr
#1257
Hannibal, MO 63401
Phone (573) 248-5460

6500 Hospital Dr
Hannibal, MO 63401
Phone (573) 629-3400

Interoperability endpoints

  • Direct secure messaging: johngreving@hrmg.allscriptsdirect.net

Organizations & group practices 6

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 11

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1043388036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 HOSPITAL DR",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634016890",
            "telephone_number": "573-629-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 HOSPITAL DR",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634016890",
            "telephone_number": "573-629-3400",
            "fax_number": "573-629-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREVING",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2006005512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204917702",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hannibal, MO

Sources for this page

Verify at the official NPI Registry.