Individual provider Active NPI

Robert T Grossmann, MD

  • Family Medicine Physician
  • Centerville, OH
National Provider Identifier
1053686683
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35074438 Issued in OH
Practice address
7073 Clyo Rd
Centerville, OH 45459-4816
Phone
(937) 435-5857
Fax
(937) 912-4960
NPI assigned
Mar 15, 2012
Last updated
Apr 18, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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 35074438 OH Primary

Addresses

Primary practice location

7073 Clyo Rd
Centerville, OH 45459-4816

Mailing address

36123 Schoolcraft Rd
Livonia, MI 48150-1216
Phone (734) 464-0887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20120420000667 OH Practitioner - Family PracticePractitioner - Geriatric Medicine 5294996021 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Post-Acute Medical Services 1 IncGroup PAC ID 5991081911, 7 clinicians
NV Pacs 2 LLCGroup PAC ID 0941550578, 119 clinicians

Practice addresses (Care Compare)

1001 E Alex Bell Rd
Dayton, OH 45459-2637
Phone (937) 436-9700

2270 Park Hills Dr
Fairborn, OH 45324-3993
Phone (855) 245-9112

425 Lauricella CT
Englewood, OH 45322-0340
Phone (937) 836-5143

6800 Paragon Rd
Dayton, OH 45459-3166
Phone (937) 438-0054

7300 McEwen Rd
Dayton, OH 45459-3903
Phone (937) 433-3444

7383 Paragon Rd
Dayton, OH 45459-4119
Phone (937) 999-2586

7800 Dayton Springfield Rd
Fairborn, OH 45324-1997
Phone (937) 203-8449

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35074438OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Post-Acute Medical Services 1 Inc Family Medicine CurrentSince Aug 1, 2017 Accepting new patients
Inpatient Consultants of Ohio, Inc CurrentSince Sep 1, 2014 Accepting new patients
NV Pacs 2 LLC CurrentSince Jul 1, 2021 Accepting new patients
CS Pacs 3 Midwest LLC CurrentSince Aug 1, 2024 Accepting new patients
Trilogy Healthcare of Montgomery II, LLC Past Accepting new patients
CT Ohio Englewood LLC Past Accepting new patients

Locations

36123 Schoolcraft Rd
Livonia, MI 48150
Phone (734) 793-6140

425 Lauricella Ct
Englewood, OH 45322
Phone (937) 836-5143

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1331769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1053686683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36123 SCHOOLCRAFT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501216",
            "telephone_number": "734-464-0887",
            "fax_number": "734-402-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7073 CLYO RD",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594816",
            "telephone_number": "937-435-5857",
            "fax_number": "937-912-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMANN",
        "first_name": "ROBERT",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-15",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35074438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

Verify at the official NPI Registry.