Active NPI
Richard E. Grout, MD
- Neonatal-Perinatal Medicine Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- MD070480L
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0017919660004 | Medicaid | PA |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dubois Regional Medical Center | Pediatrics | Current | Accepting new patients |
| Dubois Regional Medical Center | Current | 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
- 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.
-
- Pediatrics Physician
- Du Bois, PA
- NPI 1801094222
-
dba Penn Highlands DuBois
- General Acute Care Hospital
- Du Bois, PA
- NPI 1144249657
-
- Federally Qualified Health Center (FQHC)
- La Grange, TX
- NPI 1073779500
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.