Individual provider Active NPI

Richard E. Grout, MD

  • Neonatal-Perinatal Medicine Physician
  • Orlando, FL
National Provider Identifier
1164427589
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
MD070480L Issued in PA
Practice address
14205 Pine Valley Rd
Orlando, FL 32826-5276
Phone
(814) 771-9682
NPI assigned
Jun 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD070480L PA
Neonatal-Perinatal Medicine Physician 2080N0001X MD070480L PA Primary

Addresses

Primary practice location

14205 Pine Valley Rd
Orlando, FL 32826-5276

Mailing address

14205 Pine Valley Rd
Orlando, FL 32826-5276
Phone (814) 771-9682

Other identifiers 1

IdentifierTypeStateIssuer
0017919660004MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dubois Regional Medical Center Pediatrics CurrentSince Jul 25, 2016 Accepting new patients
Dubois Regional Medical Center CurrentSince Jul 25, 2016 Accepting new patients
Tejas Health Care Past Accepting new patients
Dubois Regional Medical Center Past Accepting new patients

Locations

265 Holiday Inn Rd
Clarion, PA 16214
Phone (814) 297-8848

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

529 Sunflower Dr
Dubois, PA 15801
Phone (814) 371-1510

145 Hospital Ave
Ste 102
Dubois, PA 15801
Phone (814) 375-6510

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426464000000",
    "number": "1164427589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14205 PINE VALLEY RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328265276",
            "telephone_number": "814-771-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14205 PINE VALLEY RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328265276",
            "telephone_number": "814-771-9682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROUT",
        "first_name": "RICHARD",
        "middle_name": "E.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2015-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD070480L",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "PA",
            "license": "MD070480L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017919660004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.