Individual provider Active NPI

Raymond Gruenther, MD

  • Family Medicine Physician
  • Groveport, OH
National Provider Identifier
1225075625
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-05-8309-G Issued in OH
Practice address
3813 S Hamilton Rd
Groveport, OH 43125-9330
Phone
(614) 835-0400
Fax
(614) 835-0401
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35-05-8309-G OH Primary

Addresses

Primary practice location

3813 S Hamilton Rd
Groveport, OH 43125-9330

Mailing address

947 E Johnstown Rd
#160
Gahanna, OH 43230-1851
Phone (614) 636-0553

Other practice location 1

947 E Johnstown Rd
#160
Gahanna, OH 43230-1851
Phone (614) 636-0553

Other identifiers 1

IdentifierTypeStateIssuer
0742316MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20051007000909 OH Practitioner - Family Practice 9335164490 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Virginia Commonwealth University, School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Specialists, LLCGroup PAC ID 1850311010, 81 clinicians

Practice addresses (Care Compare)

4300 Clime Rd
Suite 110
Columbus, OH 43228-6491
Phone (614) 729-8098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Nov 1, 2021 Accepting new patients
Hometown Urgent Care of Michigan, PC CurrentSince Nov 1, 2021 Accepting new patients
Urgent Care Specialists, LLC CurrentSince Dec 1, 2016 Accepting new patients
Mercy Health Urgent Care LLC Family Medicine Past Accepting new patients

Locations

4400 N High St
Ste 101
Columbus, OH 43214
Phone (614) 263-4400

4300 Clime Rd
Ste 110
Columbus, OH 43228
Phone (614) 272-1100

3813 S Hamilton Rd
Groveport, OH 43125
Phone (614) 835-0400

6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630

1301 W 1st St
Springfield, OH 45504
Phone (937) 271-0066

Organizations & group practices 4

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1225075625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 E JOHNSTOWN RD",
            "address_2": "#160",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432301851",
            "telephone_number": "614-636-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3813 S HAMILTON RD",
            "city": "GROVEPORT",
            "state": "OH",
            "postal_code": "431259330",
            "telephone_number": "614-835-0400",
            "fax_number": "614-835-0401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "947 E Johnstown Rd",
            "address_2": "#160",
            "address_purpose": "LOCATION",
            "city": "Gahanna",
            "state": "OH",
            "postal_code": "432301851",
            "country_code": "US",
            "telephone_number": "614-636-0553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUENTHER",
        "first_name": "RAYMOND",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-05-8309-G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0742316",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Groveport, OH

Sources for this page

Verify at the official NPI Registry.