Active NPI
Kira Racine Groves, DO
- Family Medicine Physician
- Lake Charles, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 324736
- Practice address
- 2750 Aster St
Lake Charles, LA 70601-8824 - Phone
- (337) 480-8900
- Fax
- (337) 480-8901
- NPI assigned
- Apr 2, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 324736 | LA | Primary |
Addresses
Primary practice location
2750 Aster St
Lake Charles, LA 70601-8824
Mailing address
PO Box 122539 Dept 2539
Dallas, TX 75312-0001
Phone (337) 494-2921
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2540866 | Medicaid | LA | |
| 324736 | Other | LA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- 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
- Family Practice
- Education
- William Carey University College of Osteopathic Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3524 Heathrow Way
Medford, OR 97504-4004
Phone (541) 646-3505
Hospital & facility affiliations
- Asante Rogue Regional Medical Center
- Lake Charles Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rogue Valley Physicians | Family Medicine | Current | Accepting new patients |
| Rogue Valley Physicians | Current | Accepting new patients | |
| Rogue Valley Physicians PC | Family Medicine | Current | Accepting new patients |
Locations
2900 Doctors Park Dr
Ste 250
Medford, OR 97504
Phone (541) 282-2208
3524 Heathrow Way
Medford, OR 97504
Phone (541) 646-3505
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- kgroves5281836@direct.casso.us.com
- kira.groves.p1@direct.rvpdocs.nextgenshare.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Medford, OR
- NPI 1699761932
-
- Primary Care Clinic/Center
- Medford, OR
- NPI 1881811842
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Gastroenterology Physician
- Lake Charles, LA
- NPI 1285351411
Hospital
-
- Rheumatology Physician
- Lake Charles, LA
- NPI 1659424075
Hospital
-
- General Acute Care Hospital
- Lake Charles, LA
- NPI 1972549855
-
- General Acute Care Hospital
- Medford, OR
- NPI 1770587107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651017600000",
"number": "1073045605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 122539 DEPT 2539",
"city": "DALLAS",
"state": "TX",
"postal_code": "753120001",
"telephone_number": "337-494-2921",
"fax_number": "337-494-6523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 ASTER ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706018824",
"telephone_number": "337-480-8900",
"fax_number": "337-480-8901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROVES",
"first_name": "KIRA",
"middle_name": "RACINE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-02",
"last_updated": "2022-04-27",
"certification_date": "2022-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "324736",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2540866",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "324736",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.