Active NPI
Michael A. Gromet, M.D.
- Dermatology Physician
- Jacksonville, FL
National Provider Identifier
1124076492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- ME64624
- Practice address
- 10036 Scott Mill Rd
Jacksonville, FL 32257-5885 - Phone
- (415) 990-7231
- Fax
- (707) 253-7528
- NPI assigned
- May 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | ME64624 | FL | Primary |
Addresses
Primary practice location
10036 Scott Mill Rd
Jacksonville, FL 32257-5885
Mailing address
10036 Scott Mill Rd
Jacksonville, FL 32257-5885
Phone (415) 990-7231
Other names 1
- Michael A. Gromet
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mgrometmd@outlook.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210514002044 | FL | Order and Referring Only - Dermatology | 5496843138 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME64624 | FL | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561680000000",
"number": "1124076492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10036 SCOTT MILL RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322575885",
"telephone_number": "415-990-7231",
"fax_number": "707-253-7528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10036 SCOTT MILL RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322575885",
"telephone_number": "415-990-7231",
"fax_number": "707-253-7528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROMET",
"first_name": "MICHAEL",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2019-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "ME64624",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mgrometmd@outlook.com",
"affiliation": "N",
"endpointDescription": "For transmission and receipt of information.",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "10036 Scott Mill Rd",
"city": "Jacksonville",
"state": "FL",
"country_code": "US",
"postal_code": "322575885",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MICHAEL",
"last_name": "GROMET",
"middle_name": "A.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.