Active NPI
Marc David Grobman, D.O.
- Family Medicine Physician
- Wilmington, DE
National Provider Identifier
1063484442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C2-0003657
- Practice address
- 3411 Silverside Rd
Weldin Building Suite 102
Wilmington, DE 19810-4812 - Phone
- (302) 479-0580
- Fax
- (302) 479-0583
- NPI assigned
- Feb 1, 2006
- Last updated
- Dec 19, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C2-0003657 | DE | Primary |
Addresses
Primary practice location
3411 Silverside Rd
Weldin Building Suite 102
Wilmington, DE 19810-4812
Mailing address
1602 Newport Gap Pike
Wilmington, DE 19808-6208
Phone (302) 633-5840
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000318803 | Medicaid | DE | |
| 510334650 | Other | DE | BCBS OF DE |
| 08D0876971 | Other | DE | CLIA |
| 110044275 | Other | DE | RRM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3411 Silverside Rd
Wilmington, DE 19810-4812
Phone (302) 479-0580
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C2-0003657 | DE | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marc Grobman Internal Medicine & Primary Care | Family Medicine | Past | Accepting new patients |
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Geriatric Medicine (Internal Medicine) Physician
- Pawtucket, RI
- NPI 1912148198
DE
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Wilmington, DE
- NPI 1376509919
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Christiana Care Visiting Nurse Association
- Home Health Agency
- Wilmington, DE
- NPI 1437152154
-
- Home Health Agency
- Wilmington, DE
- NPI 1245277219
-
- Home Health Agency
- Newark, DE
- NPI 1366473969
-
dba BAYADA Pediatrics
- Home Health Agency
- New Castle, DE
- NPI 1447281043
-
- Home Health Agency
- Wilmington, DE
- NPI 1821029422
-
dba Christiana Care
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324252800000",
"number": "1063484442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1602 NEWPORT GAP PIKE",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198086208",
"telephone_number": "302-633-5840",
"fax_number": "302-633-5844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3411 SILVERSIDE RD",
"address_2": "WELDIN BUILDING SUITE 102",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198104812",
"telephone_number": "302-479-0580",
"fax_number": "302-479-0583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROBMAN",
"first_name": "MARC",
"middle_name": "DAVID",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-01",
"last_updated": "2011-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "DE",
"license": "C2-0003657",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000318803",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF DE",
"identifier": "510334650",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "08D0876971",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRM",
"identifier": "110044275",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.