Individual provider Active NPI

Eli Robert Groppo, M.D.

  • Otolaryngology Physician
  • Sacramento, CA
National Provider Identifier
1245402338
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A102807 Issued in CA
Practice address
1111 Exposition Blvd
BLDG 700
Sacramento, CA 95815-4314
Phone
(916) 736-3399
Fax
(916) 233-4171
NPI assigned
Mar 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A102807 CA Primary

Addresses

Primary practice location

1111 Exposition Blvd
BLDG 700
Sacramento, CA 95815-4314

Mailing address

1111 Exposition Blvd
BLDG 700
Sacramento, CA 95815-4314
Phone (916) 736-3399

Other identifiers 1

IdentifierTypeStateIssuer
A102807OtherCASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20110801000076 CA Practitioner - Otolaryngology 8022286400 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

1561 Creekside Dr
Suite 180
Folsom, CA 95630-3495
Phone (916) 984-8830

2800 L St
Sacramento, CA 95816-5616

2825 Capitol Ave
Sacramento, CA 95816-6039
Phone (916) 454-6600

Hospital & facility affiliations

  • Mercy General Hospital Hospital, Sacramento, CA, CCN 050017
  • Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309
  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108
  • Mercy Hospital of Folsom Hospital, Folsom, CA, CCN 050414
  • Sutter Amador Hospital Hospital, Jackson, CA, CCN 050014

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
102807CAMDMarriage & Family Therapist
A102807CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sacramento Ear Nose & Throat Surgical & Medical Group Inc Otolaryngology CurrentSince Aug 1, 2011 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Apr 30, 2012 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Jun 3, 2019 Accepting new patients
Sutter Valley Medical Foundation Otolaryngology Current Accepting new patients
Sacramento Ear Nose and Throat Surgical Medical Group Inc Otolaryngology Current Accepting new patients
Sutter Valley Medical Foundation Otolaryngology CurrentSince Jun 3, 2019 Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Dignity Health Past Accepting new patients
Sutter North Medical Foundation Past Accepting new patients

Locations

1561 Creekside Dr
Ste 180
Folsom, CA 95630
Phone (916) 984-4883

23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708

2725 Capitol Ave
Dept 402
Sacramento, CA 95816
Phone (916) 262-9400

1111 Exposition Blvd
Bldg 700
Sacramento, CA 95815
Phone (916) 736-3399

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

1111 Exposition Blvd
Ste 700
Sacramento, CA 95815
Phone (916) 736-3399

Interoperability endpoints

  • Direct secure messaging: egroppo81890@hisp.ehr.sutterhealth.org

Organizations & group practices 9

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 5

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": "1206662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1245402338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 EXPOSITION BLVD",
            "address_2": "BLDG 700",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154314",
            "telephone_number": "916-736-3399",
            "fax_number": "916-233-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 EXPOSITION BLVD",
            "address_2": "BLDG 700",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154314",
            "telephone_number": "916-736-3399",
            "fax_number": "916-233-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROPPO",
        "first_name": "ELI",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-28",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A102807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A102807",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.