NPIMap

Individual provider Active NPI

Roderick Berl Groomes, MD

  • Emergency Medicine Physician
  • Kittanning, PA
National Provider Identifier
1114985009
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD034271E Issued in PA
Practice address
One Nolte Drive
Armstrong County Memorial Hospital
Kittanning, PA 16201
Phone
(724) 543-8109
Fax
(724) 543-8809
NPI assigned
May 2, 2006
Last updated
Aug 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD034271E PA Primary

Addresses

Primary practice location

One Nolte Drive
Armstrong County Memorial Hospital
Kittanning, PA 16201

Mailing address

PO Box 760
Emergency Medicine Associates PC
Kittanning, PA 16201
Phone (800) 777-2455

Other identifiers 2

IdentifierTypeStateIssuer
001132588MedicaidPA
476140OtherHIGHMARK BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060413000408 PA Practitioner - Emergency Medicine 0941263701 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Nolte Dr
Kittanning, PA 16201-7111
Phone (724) 543-8500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99 of 100Reported as group
Quality
95.9
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue23
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Armstrong County Memorial Hospital CurrentSince Sep 2, 2023 Accepting new patients
Ahn Emergency Group of Pittsburgh LTD. Emergency Medicine CurrentSince Mar 12, 2020 Accepting new patients
Ahn Emergency Group of Forbes LTD. Emergency Medicine CurrentSince Nov 1, 2017 Accepting new patients
Armstrong County Memorial Hospital Current Accepting new patients
Armstrong County Memorial Hospital CurrentSince Sep 2, 2023 Accepting new patients

Locations

1 Nolte Dr
Kittanning, PA 16201
Phone (724) 543-8109

1 Nolte Dr
Ste 120
Kittanning, PA 16201
Phone (724) 543-8164

116 Main St
Leechburg, PA 15656
Phone (724) 845-1211

2570 Haymaker Rd
Monroeville, PA 15146
Phone (412) 858-2000

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

Organizations & group practices 6

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.

Hospital & facility affiliations 7

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1114985009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 760",
            "address_2": "EMERGENCY MEDICINE ASSOCIATES PC",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "16201",
            "telephone_number": "800-777-2455",
            "fax_number": "610-617-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE NOLTE DRIVE",
            "address_2": "ARMSTRONG COUNTY MEMORIAL HOSPITAL",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "16201",
            "telephone_number": "724-543-8109",
            "fax_number": "724-543-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROOMES",
        "first_name": "RODERICK",
        "middle_name": "BERL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD034271E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001132588",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS",
            "identifier": "476140",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kittanning, PA

Sources for this page

Verify at the official NPI Registry.