Active NPI
Thomas H Grote, MD
- Medical Oncology Physician
- N Wilkesboro, NC
National Provider Identifier
1215907993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 31138
- Practice address
- 1913 W Park Dr
N Wilkesboro, NC 28659-3564 - Phone
- (336) 903-6362
- Fax
- (336) 903-6354
- NPI assigned
- Jan 25, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | 31138 | NC | Primary |
Addresses
Primary practice location
1913 W Park Dr
N Wilkesboro, NC 28659-3564
Mailing address
PO Box 60516
Charlotte, NC 28260-0516
Phone (336) 903-6362
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215907993 | Medicaid | VA | |
| 336 | Other | NC | PARTNERS NATIONAL HEALTH |
| P00031316 | Other | RAILROAD MEDICARE | |
| 3603475 | Other | UNITED HEALTH CARE | |
| 006005586 | Medicaid | VA | |
| 24690 | Other | MEDCOST | |
| 4098738 | Other | AETNA PPO | |
| 3097025 | Other | AETNA HMO | |
| 8937807 | Medicaid | NC | |
| 37807 | Other | NC | BLUE CROSS AND BLUE SHIEL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tgrote154670@direct.novanthealth.org |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31138 | NC | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Hematology-Oncology Associates, PLLC | Medical Oncology | Past | Accepting new patients |
| Piedmont Hem Onc Associates | Past | Accepting new patients |
Interoperability endpoints
- tgrote154670@direct.novanthealth.org
Organizations & group practices 2
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.
-
- Clinic Pharmacy
- Winston Salem, NC
- NPI 1245446905
-
- Hematology & Oncology Physician
- Winston Salem, NC
- NPI 1245210707
Medical Oncology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650844800000",
"number": "1215907993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60516",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600516",
"telephone_number": "336-903-6362",
"fax_number": "336-903-6354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1913 W PARK DR",
"city": "N WILKESBORO",
"state": "NC",
"postal_code": "286593564",
"telephone_number": "336-903-6362",
"fax_number": "336-903-6354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROTE",
"first_name": "THOMAS",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2022-04-25",
"certification_date": "2022-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "NC",
"license": "31138",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1215907993",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS NATIONAL HEALTH",
"identifier": "336",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00031316",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "3603475",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006005586",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "24690",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4098738",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "3097025",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8937807",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BLUE SHIEL",
"identifier": "37807",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tgrote154670@direct.novanthealth.org",
"affiliation": "N",
"address_1": "1913 W Park Dr",
"city": "N Wilkesboro",
"state": "NC",
"country_code": "US",
"postal_code": "286593564",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in N Wilkesboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.