Individual provider Active NPI

Thomas Groner, DPM

  • Podiatrist
  • Niles, OH
National Provider Identifier
1073510301
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36-00-3293 Issued in OH
Practice address
720 Youngstown Warren Rd
Niles, OH 44446-3551
Phone
(330) 652-0535
Fax
(330) 652-0536
NPI assigned
Jul 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC-00-5803 PA
Podiatrist 213E00000X 36-00-3293 OH Primary

Addresses

Primary practice location

720 Youngstown Warren Rd
Niles, OH 44446-3551

Mailing address

PO Box 378
Sandusky, OH 44871-0378
Phone (419) 626-6161

Other identifiers 6

IdentifierTypeStateIssuer
1010551400001MedicaidPA
1065838OtherWVWORKERS COMP
7538513OtherAETNA
001627038OtherHIGHMARK
3810000226MedicaidWV
2478886MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040610001107 OH Practitioner - Podiatry 3971586975 Reassigns benefits to 1 organization
I20040922001141 PA Practitioner - Podiatry 3971586975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2500 W Strub Rd
Sandusky, OH 44870-5390
Phone (419) 626-6161

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.23 of 100Reported as group
Quality
59.13
Promoting interoperability
99
Improvement activities
40
Cost
75.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue281
Removal of nail tissue1413
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC-00-5803PAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Ohio Medical Specialists LLC CurrentSince Feb 18, 2019 Accepting new patients
Northern Ohio Medical Specialists, LLC CurrentSince Feb 18, 2019 Accepting new patients
Northern Ohio Medical Specialists, LLC Past Accepting new patients

Locations

2120 W State St
Alliance, OH 44601
Phone (330) 823-4455

315 Struthers Liberty Rd
Campbell, OH 44405
Phone (330) 750-1333

16844 Saint Clair Ave
Ste 2
East Liverpool, OH 43920
Phone (330) 385-2413

16844 Saint Clair Ave
East Liverpool, OH 43920
Phone (330) 385-2413

136 N Market St
East Palestine, OH 44413
Phone (330) 426-1828

720 Youngstown Warren Rd
Niles, OH 44446
Phone (330) 652-0535

3262 Center Rd
Poland, OH 44514
Phone (330) 707-1220

2380 Southeast Blvd
Salem, OH 44460
Phone (330) 332-0426

3004 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-2841

2500 W Strub Rd
Sandusky, OH 44870
Phone 41960911123061

4696 Mahoning Ave NW
Warren, OH 44483
Phone (330) 847-0072

1265 Boardman Canfield Rd
Youngstown, OH 44512
Phone (330) 758-8808

8175 Market St
Youngstown, OH 44512
Phone (330) 629-8800

1450 S Canfield Niles Rd
Youngstown, OH 44515
Phone (330) 270-2700

3 Greenville Orthopedic Ctr
Greenville, PA 16125
Phone (724) 588-3770

Interoperability endpoints

  • Direct secure messaging: tgroner20253@nomshealthcare.direct-ci.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.

Hospital & facility affiliations 1

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": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1073510301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 378",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448710378",
            "telephone_number": "419-626-6161",
            "fax_number": "419-502-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 YOUNGSTOWN WARREN RD",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444463551",
            "telephone_number": "330-652-0535",
            "fax_number": "330-652-0536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRONER",
        "first_name": "THOMAS",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC-00-5803",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36-00-3293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010551400001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP",
            "identifier": "1065838",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7538513",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "001627038",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810000226",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2478886",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, OH

Sources for this page

Verify at the official NPI Registry.