Individual provider Active NPI

Thomas H Grote, MD

  • Medical Oncology Physician
  • N Wilkesboro, NC
National Provider Identifier
1215907993
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
31138 Issued in NC
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

Updated by the provider on Apr 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1215907993MedicaidVA
336OtherNCPARTNERS NATIONAL HEALTH
P00031316OtherRAILROAD MEDICARE
3603475OtherUNITED HEALTH CARE
006005586MedicaidVA
24690OtherMEDCOST
4098738OtherAETNA PPO
3097025OtherAETNA HMO
8937807MedicaidNC
37807OtherNCBLUE CROSS AND BLUE SHIEL

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
31138NCMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Hematology-Oncology Associates, PLLC Medical Oncology Past Accepting new patients
Piedmont Hem Onc Associates Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.