Individual provider Active NPI

George Groussis, MD

  • Internal Medicine Physician
  • Worcester, MA
National Provider Identifier
1184690992
Registry record updated Apr 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
81987 Issued in MA
Practice address
140 W Boylston Dr
Worcester, MA 01606-2726
Phone
(508) 756-9200
Fax
(508) 756-9277
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 81987 MA Primary

Addresses

Primary practice location

140 W Boylston Dr
Worcester, MA 01606-2726

Mailing address

140 W Boylston Dr
Worcester, MA 01606-2726
Phone (508) 756-9200

Other identifiers 5

IdentifierTypeStateIssuer
3152707MedicaidMA
J16645OtherMABCBS
081987OtherMATUFTS
28867OtherMDFALLON
68567OtherMDHARVARD PILGRIM

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
I20050328000678 MA Practitioner - Internal Medicine 3779539226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
R Franklin University of Med & Sci/Chicago Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

140 W Boylston Dr
Worcester, MA 01606-2726
Phone (508) 756-9200

Hospital & facility affiliations

  • Vna Care Network Home health agency, Worcester, MA, CCN 227098
  • Umass Memorial Medical Center/University Campus Hospital, Worcester, MA, CCN 220163
  • Umass Memorial Health - Harrington Hospital Hospital, Southbridge, MA, CCN 220019
  • St Vincent Hospital Hospital, Worcester, MA, CCN 220176
  • Umass Memorial Healthalliance Hospitals Hospital, Leominster, MA, CCN 220001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aesclepion Healthcare LLC. Internal Medicine CurrentSince Dec 1, 2007 Accepting new patients

Locations

140 W Boylston Dr
Worcester, MA 01606
Phone (508) 756-9200

385 Grove St
Worcester, MA 01605
Phone (508) 453-8802

385 Grove St
Ste 201
Worcester, MA 01605

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FJJGCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/FJJGCD/Endpoint/FJJGCD
  • Direct secure messaging: george.groussis@ahl.eclinicaldirectplus.com

Organizations & group practices 1

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 6

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651276800000",
    "number": "1184690992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W BOYLSTON DR",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016062726",
            "telephone_number": "508-756-9200",
            "fax_number": "508-756-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W BOYLSTON DR",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016062726",
            "telephone_number": "508-756-9200",
            "fax_number": "508-756-9277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROUSSIS",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2022-04-30",
        "certification_date": "2022-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "81987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3152707",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J16645",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "081987",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "28867",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "68567",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.