David J. Grote, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

000844 Issued in IA

Practice address

2930 Hamilton Blvd
Ste. 102
Sioux City, IA 51104-2425

Phone

(712) 277-9370

Fax

(712) 252-4733

NPI assigned

Jun 14, 2006

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 5

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Associates of Siouxland PCGroup PAC ID 3678711348, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Lukes Regional Medical Center Hospital, Sioux City, IA, CCN 160146

Merit-based Incentive Payment System (MIPS)

Final score

87.06 of 100Reported as group

Quality

74.12

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Dermatology Associates of Siouxland, PC

  • Specialist
  • Sioux City, IA
  • NPI 1417088907
  Medicare reassignment Care Compare group
• Mercy Medical Services

  • Family Medicine Physician
  • Sioux City, IA
  • NPI 1366484263

  Medical

  NPD (past)
• Mercy Medical Services

  • Family Medicine Physician
  • Sioux City, IA
  • NPI 1982644472

  Medical

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northwest Iowa Hospital Corporation

  • General Acute Care Hospital
  • Sioux City, IA
  • NPI 1962594622
  Care Compare affiliation

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1164465019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 HAMILTON BLVD",
            "address_2": "STE. 102",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511042425",
            "telephone_number": "712-277-9370",
            "fax_number": "712-252-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 HAMILTON BLVD",
            "address_2": "STE. 102",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511042425",
            "telephone_number": "712-277-9370",
            "fax_number": "712-252-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROTE",
        "first_name": "DAVID",
        "middle_name": "J.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "000844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL NPI",
            "identifier": "1164465019",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "IB2763",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK GROUP NPI NUMBER",
            "identifier": "1417088907",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR GROUP PTAN",
            "identifier": "DT7736",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "IB2763004",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danikah Grobe
• Katherine Grode, CRNA
• Ryan R Groetken, LMHC
• Merritt Groh, PA-C
• Angela D. Gronborg-Harder, LMHC
• Sarah Grothen, PHARMD
• Kailyn Brianne Grunke
• Randy Guerdet, PA
• Janet Guadalupe Guerrero
• Roger A Gunn, MD

• Medical Physician Assistant in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Medical Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; 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.

Verify at the official NPI Registry.