Individual provider Active NPI

Andrew D. Grubic, D.O.

  • Surgery Physician
  • Wexford, PA
National Provider Identifier
1083031561
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
OS019947 Issued in PA
Practice address
12311 Perry Hwy
Wexford, PA 15090-8344
Phone
(412) 359-8820
NPI assigned
Mar 24, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X OS019947 PA Primary

Addresses

Primary practice location

12311 Perry Hwy
Wexford, PA 15090-8344

Mailing address

12311 Perry Hwy
Wexford, PA 15090-8344
Phone (412) 359-8820

Other identifiers 1

IdentifierTypeStateIssuer
14441892OtherCAQH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address agrubic231401@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20190718000443 PA Practitioner - General Surgery 6103112172 Reassigns benefits to 1 organization
I20220420000931 OH Practitioner - General Surgery 6103112172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Lake Erie College of Osteopathic Medicine, Bradenton, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 636-1768

Hospital & facility affiliations

  • South Pointe Hospital Hospital, Warrensville Heights, OH, CCN 360144
  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • Marymount Hospital Hospital, Garfield Heights, OH, CCN 360143

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy11
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux46
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS019947PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Mar 9, 2022 Accepting new patients
Allegheny Clinic CurrentSince Aug 1, 2019 Accepting new patients
Allegheny Clinic CurrentSince Aug 1, 2019 Accepting new patients
Allegheny Clinic Current Accepting new patients
Major Hospital Past Accepting new patients
Cleveland Clinic Health System - East Region Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

99 Northline Cir
Ste 202
Euclid, OH 44119
Phone (216) 444-5404

12000 McCracken Rd
Garfield Hts, OH 44125
Phone (216) 261-7970

12300 McCracken Rd
Garfield Hts, OH 44125
Phone (216) 581-0500

5595 Transportation Blvd
Ste 230
Garfield Hts, OH 44125
Phone (216) 518-3444

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

20050 Harvard Ave
Ste 107
Warrensville Heights, OH 44122
Phone (216) 518-3650

20000 Harvard Ave
Warrensville Heights, OH 44122
Phone (216) 491-7460

145 W 23rd St
Ste 303
Erie, PA 16502
Phone (814) 452-7800

4815 Liberty Ave
Ste 439
Pittsburgh, PA 15224
Phone (412) 578-3925

320 E North Ave
Ste 261
Pittsburgh, PA 15212
Phone (412) 359-3901

12311 Perry Hwy
Wexford, PA 15090
Phone (878) 332-4143

Organizations & group practices 7

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": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1083031561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12311 PERRY HWY",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908344",
            "telephone_number": "412-359-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12311 PERRY HWY",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908344",
            "telephone_number": "412-359-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBIC",
        "first_name": "ANDREW",
        "middle_name": "D.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-24",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "OS019947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14441892",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agrubic231401@direct.ahn.org",
            "affiliation": "N",
            "address_1": "12311 Perry Hwy",
            "city": "Wexford",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150908344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

Verify at the official NPI Registry.