Individual provider Active NPI

Amit Johnny Grover, M.D.

  • Family Medicine Physician
  • Mansfield, MA
National Provider Identifier
1164955910
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
61816 Issued in TN
Practice address
200 Copeland Dr
Mansfield, MA 02048-1225
Phone
(508) 618-2175
NPI assigned
Apr 8, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD21337 RI
Family Medicine Physician 207Q00000X 61816 TN Primary

Addresses

Primary practice location

200 Copeland Dr
Mansfield, MA 02048-1225

Mailing address

200 Copeland Dr
Mansfield, MA 02048-1225
Phone (508) 339-4144

Other practice location 1

4 Saint Joseph St
Woonsocket, RI 02895-5416
Phone (401) 765-5844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20230201001754 MA Practitioner - Family Practice 8628492212 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

211 Park St
Attleboro, MA 02703-3137

3250 Lacey Rd
Suite 160
Downers Grove, IL 60515-7901

451 Andover St
Suite 205
North Andover, MA 01845-5071

61 Charles River Dr
Franklin, MA 02038-2887

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sturdy Memorial Hospital Inc CurrentSince Dec 5, 2022 Accepting new patients
Blueprint Healthcare LLC CurrentSince Mar 2, 2025 Accepting new patients
Cape Heritage Ma SNF LLC Past Accepting new patients
Cape Regency Ma SNF LLC Past Accepting new patients

Locations

94 Summer St
Fitchburg, MA 01420
Phone (978) 343-3530

200 Copeland Dr
Mansfield, MA 02048
Phone (508) 339-4144

451 Andover St
Ste 205
North Andover, MA 01845
Phone (978) 983-2434

211 Park St
South Attleboro, MA 02703
Phone (508) 222-5200

180 Log Rd
Smithfield, RI 02917
Phone (401) 231-7016

4 Saint Joseph St
Woonsocket, RI 02895
Phone (401) 765-5844

Interoperability endpoints

  • Direct secure messaging: blueprinthealthcare.amitgrover@159334.advancedmd-direct.com

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1491609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1164955910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 COPELAND DR",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020481225",
            "telephone_number": "508-339-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 COPELAND DR",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020481225",
            "telephone_number": "508-618-2175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Saint Joseph St",
            "address_purpose": "LOCATION",
            "city": "Woonsocket",
            "state": "RI",
            "postal_code": "028955416",
            "country_code": "US",
            "telephone_number": "401-765-5844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROVER",
        "first_name": "AMIT",
        "middle_name": "JOHNNY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-08",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "MD21337",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "61816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, MA

Sources for this page

Verify at the official NPI Registry.