Active NPI
Cortni Grooms, PA-C
- Physician Assistant
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10002451A
- Practice address
- 8040 Clearvista Pkwy Ste 310
Indianapolis, IN 46256-4673 - Phone
- (317) 621-2200
- NPI assigned
- May 1, 2018
- Last updated
- Aug 20, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 99085963A | IN | |
| Physician Assistant | 363A00000X | 10002451A | IN | Primary |
Addresses
Primary practice location
8040 Clearvista Pkwy Ste 310
Indianapolis, IN 46256-4673
Mailing address
6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890
Other practice location 1
720 Eskenazi Ave
Indianapolis, IN 46202-5190
Phone (317) 880-6824
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300014618 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cgrooms47553@direct.eskenazihealth.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1402 E County Line Rd
Indianapolis, IN 46227-0963
Phone (317) 887-7113
1402 E County Rd S
Suite 2400
Indianapolis, IN 46227-0963
Phone (317) 497-6666
1440 E County Line Rd
Indianapolis, IN 46227-0963
7120 Clearvista Dr
Suite 4000
Indianapolis, IN 46256-1774
Phone (317) 621-7444
7150 Clearvista Dr
Indianapolis, IN 46256-1695
Phone (317) 621-6262
8075 N Shadeland Ave
Indianapolis, IN 46250-2693
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.69 of 100
- Quality
- 80.42
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 81.89
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 94.43
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 82.74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10002451A | IN | MD | Physician Assistant |
| 99085963A | IN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Health and Hospital Corporation of Marion County | Current | Accepting new patients | |
| Community Physician Network Specialty Care LLC | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Eskenazi Medical Group Inc | Current | Accepting new patients | |
| The Health and Hospital Corporation of Marion County | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients |
Locations
5819 Reliable Pkwy
Chicago, IL 60686
5918 Reliable Pkwy
Chicago, IL 60686
2732 W Michigan St
Indianapolis, IN 46222
Phone (317) 554-4600
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000
720 Eskenazi Ave
Fl 5
Indianapolis, IN 46202
Phone (317) 880-6000
8040 Clearvista Pkwy
Ste 310
Indianapolis, IN 46256
Phone (317) 621-2200
8075 N Shadeland Ave
Indianapolis, IN 46250
Phone (317) 621-8000
Interoperability endpoints
- cgrooms624753@ecommunitydirect.com
Organizations & group practices 7
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1205325644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6626 E 75TH ST STE 500",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8040 CLEARVISTA PKWY STE 310",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462564673",
"telephone_number": "317-621-2200"
}
],
"practiceLocations": [
{
"address_1": "720 Eskenazi Ave",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462025190",
"country_code": "US",
"telephone_number": "317-880-6824",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GROOMS",
"first_name": "CORTNI",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-01",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "99085963A",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "10002451A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300014618",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cgrooms47553@direct.eskenazihealth.edu",
"affiliation": "N",
"address_1": "720 Eskenazi Ave",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462025190",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.