John Scott Groch, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

36073266 Issued in IL

Practice address

333 Madison
St Joseph Medical Center
Joliet, IL 60435-8233

Phone

(815) 741-7200

Fax

(815) 741-7591

NPI assigned

Jan 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Integrated Imaging Consultants LLC

  • Diagnostic Radiology Physician
  • Park Ridge, IL
  • NPI 1700285335
  Medicare reassignment NPD
• Des Plaines Radiologists SC

  • Diagnostic Radiology Physician
  • Des Plaines, IL
  • NPI 1316056021
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144379363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 STUART CT",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601264629",
            "telephone_number": "630-832-5326",
            "fax_number": "815-741-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 MADISON",
            "address_2": "ST JOSEPH MEDICAL CENTER",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358233",
            "telephone_number": "815-741-7200",
            "fax_number": "815-741-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROCH",
        "first_name": "JOHN",
        "middle_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "36073266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36073266",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Jeanne Grella, LSW
• Catherine Therese Gremley
• Vivian L Griffin, P.T.
• Nancy A. Griparis, RD. LDN.
• Terri Larae Griswold-Dodgson
• Victoria Gronkowski, D.C
• Charles Gross
• Patricia Grosskopf, PSY.D
• Shannon Marie Groves, PA
• Meghan Grzetich, LMFT

• Diagnostic Radiology Physician in Joliet, IL
• Providers in Joliet, IL by specialty
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.