Individual provider Active NPI

Michael James Grover, M.D.

  • Anesthesiology Physician
  • Providence, UT
National Provider Identifier
1063648541
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD451410 Issued in PA
Practice address
560 W 465 N Ste 604
Providence, UT 84332-8006
Phone
(435) 753-1600
Fax
(435) 753-9521
NPI assigned
Jun 10, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 274555 NY
Anesthesiology Physician 207L00000X MD451410 PA Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X ND451410 PA

Addresses

Primary practice location

560 W 465 N Ste 604
Providence, UT 84332-8006

Mailing address

560 W 465 N Ste 604
Providence, UT 84332-8006
Phone (435) 753-1600

Other identifiers 1

IdentifierTypeStateIssuer
1063648541MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA, UT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20140711002249 NY Practitioner - AnesthesiologyPractitioner - Pain Management 5890922769 Reassigns benefits to 3 organizations
I20140826000652 PA Practitioner - AnesthesiologyPractitioner - Pain Management 5890922769 Reassigns benefits to 1 organization
I20260102003300 UT Practitioner - Anesthesiology 5890922769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Virginia Commonwealth University, School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guthrie Medical Group PCGroup PAC ID 6002728656, 795 clinicians
Interwest Anesthesia Associates LLCGroup PAC ID 0042293359, 29 clinicians
U of R Anesthesiology GroupGroup PAC ID 3476451105, 340 clinicians

Practice addresses (Care Compare)

130 Ctr Way
Corning, NY 14830-2255
Phone (607) 936-9971

31 Arnot Rd
A
Horseheads, NY 14845-8533
Phone (607) 795-5100

500 E 1400
Logan, UT 84341
Phone (435) 716-1000

601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 275-2141

Hospital & facility affiliations

  • Intermountain Health Logan Regional Hospital Hospital, Logan, UT, CCN 460015
  • Corning Hospital Hospital, Corning, NY, CCN 330277
  • Nicholas H Noyes Memorial Hospital Hospital, Dansville, NY, CCN 330238
  • Cache Valley Hospital Hospital, North Logan, UT, CCN 460054

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ND451410PAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. Anesthesiology CurrentSince Jul 21, 2014 Accepting new patients
Interwest Anesthesia Associates LLC Anesthesiology CurrentSince Jan 1, 2026 Accepting new patients
Highland Hospital of Rochester CurrentSince Dec 1, 2025 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Jul 21, 2014 Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients
Highland Hospital of Rochester CurrentSince Dec 1, 2025 Accepting new patients
Guthrie Medical Group, P.C. Anesthesiology CurrentSince Jul 21, 2014 Accepting new patients
Guthrie Medical Group PC Past Accepting new patients

Locations

470 Collins St
Avon, NY 14414
Phone (585) 226-2640

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

1 Guthrie Dr
Corning, NY 14830
Phone (607) 937-7130

601 Elmwood Ave
#604
Rochester, NY 14642
Phone (585) 275-2141

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

601 Elmwood Ave
#320
Rochester, NY 14642

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

55 E Golf Course Rd
Logan, UT 84321
Phone (435) 760-3734

2380 N 400 E
North Logan, UT 84341
Phone (435) 713-9700

560 W 465 N
Ste 604
Providence, UT 84332
Phone (435) 753-1600

Interoperability endpoints

  • Direct secure messaging: mgrover53191@direct-guthrie.org

Organizations & group practices 10

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 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": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1063648541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 W 465 N STE 604",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843328006",
            "telephone_number": "435-753-1600",
            "fax_number": "435-753-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 W 465 N STE 604",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843328006",
            "telephone_number": "435-753-1600",
            "fax_number": "435-753-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVER",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-10",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "274555",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD451410",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PA",
            "license": "ND451410",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063648541",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, UT

Sources for this page

Verify at the official NPI Registry.