Active NPI
Philip D Groesbeck, MD
- Anesthesiology Physician
- Provo, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 92-187271-1205
- Practice address
- 1034 North 500 West
Utah Valley Regional Medical Center
Provo, UT 84604 - Phone
- (801) 507-5248
- Fax
- (801) 733-5618
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD223040 | OR | |
| Anesthesiology Physician | 207L00000X | 92-187271-1205 | UT | Primary |
Addresses
Primary practice location
1034 North 500 West
Utah Valley Regional Medical Center
Provo, UT 84604
Mailing address
3340 North Center St #800
Lehi, UT 84043-7406
Phone (801) 990-1911
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100501287 | Medicaid | NV | |
| 116130000 | Medicaid | WY | |
| 59049 | Other | UT | PEHP |
| 2090168 | Other | UT | UNITED HEALTHCARE |
| QM0000075886 | Other | UT | ALTIUS |
| 18727112000001 | Other | UT | BCBS |
| 42847 | Other | UT | HEALTHY U |
| 821985 | Medicaid | AZ | |
| 231849 | Other | UT | DESERET MUTUAL |
| 107007348101 | Other | UT | IHC |
| 1502954 | Other | UT | UMWA |
| 805948300 | Medicaid | ID | |
| 870545614GRO | Other | UT | EDUCATORS MUTUAL |
| PRA01324 | Other | UT | MOLINA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1034 N 500
Provo, UT 84604-3380
Phone (801) 357-7850
2700 NW Stewart Pkwy
Roseburg, OR 97471-1281
Phone (541) 673-0611
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.53 of 100
- Quality
- 89.3
- Improvement activities
- 40
- Cost
- 78.06
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD223040 | OR | MD | Anesthesiology Physician |
| 92-187271-1205 | UT | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Mountain West Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611
3340 N Center St
Ste 800
Lehi, UT 84043
Phone (800) 501-4788
1034 N 500 W
Provo, UT 84604
Phone (801) 362-4119
5121 S Cottonwood St
Salt Lake Cty, UT 84107
Phone (801) 408-8998
150 W Civic Center Dr
Ste 200
Sandy, UT 84070
Phone (801) 727-2056
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
544 S 400 E
St George, UT 84770
Phone (435) 688-4000
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.
-
- Anesthesiology Physician
- Lehi, UT
- NPI 1558391763
-
- Anesthesiology Physician
- Roseburg, OR
- NPI 1235842196
-
- Anesthesiology Physician
- Langhorne, PA
- NPI 1093678229
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Provo, UT
- NPI 1114025491
-
- General Acute Care Hospital
- Roseburg, OR
- NPI 1477590198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741132800000",
"number": "1144315698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3340 NORTH CENTER ST #800",
"city": "LEHI",
"state": "UT",
"postal_code": "840437406",
"telephone_number": "801-990-1911",
"fax_number": "801-990-1912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1034 NORTH 500 WEST",
"address_2": "UTAH VALLEY REGIONAL MEDICAL CENTER",
"city": "PROVO",
"state": "UT",
"postal_code": "84604",
"telephone_number": "801-507-5248",
"fax_number": "801-733-5618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROESBECK",
"first_name": "PHILIP",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OR",
"license": "MD223040",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "UT",
"license": "92-187271-1205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100501287",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "116130000",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEHP",
"identifier": "59049",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2090168",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALTIUS",
"identifier": "QM0000075886",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "18727112000001",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY U",
"identifier": "42847",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "821985",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DESERET MUTUAL",
"identifier": "231849",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHC",
"identifier": "107007348101",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMWA",
"identifier": "1502954",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "805948300",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EDUCATORS MUTUAL",
"identifier": "870545614GRO",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA",
"identifier": "PRA01324",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.