Domonique Jade Grothause, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.007865RX Issued in OH

Practice address

340 Polaris Pkwy
Westerville, OH 43082-7971

Phone

(614) 839-2300

Fax

(614) 839-2301

NPI assigned

Oct 5, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopedic One, Inc.Group PAC ID 3072598283, 282 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mount Carmel New Albany Surgical Hospital Hospital, New Albany, OH, CCN 360266
• Mount Carmel Dublin Hospital, Dublin, OH, CCN 360375

Merit-based Incentive Payment System (MIPS)

Final score

90.64 of 100Reported as group

Quality

89.85

Promoting interoperability

100

Improvement activities

40

Cost

78.97

Merit-based Incentive Payment System (MIPS)

Final score

94.28 of 100Reported as group

Quality

99.21

Improvement activities

40

Cost

62.72

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dgrothause@orthopedicone.medentdirect.com

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.

• Orthopedic One, Inc.

  • Orthopaedic Surgery Physician
  • Westerville, OH
  • NPI 1548289697
  Medicare reassignment Care Compare group NPD
• Mount Carmel Health System

  • Internal Medicine Physician
  • Columbus, OH
  • NPI 1457617235
  NPD
• Mount Carmel Health System

  • General Acute Care Hospital
  • Dublin, OH
  • NPI 1710752183
  NPD
• Orthopedic One, Inc

  • Durable Medical Equipment & Medical Supplies
  • Canal Winchester, OH
  • NPI 1467284042
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mount Carmel Health System

  • General Acute Care Hospital
  • Dublin, OH
  • NPI 1710752183
  Care Compare affiliation
• Mount Carmel Health System

  • General Acute Care Hospital
  • New Albany, OH
  • NPI 1770668568
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1245955848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 POLARIS PKWY",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827971",
            "telephone_number": "614-545-7900",
            "fax_number": "614-545-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 POLARIS PKWY",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827971",
            "telephone_number": "614-839-2300",
            "fax_number": "614-839-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROTHAUSE",
        "first_name": "DOMONIQUE",
        "middle_name": "JADE",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-05",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.007865RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn D Groh, MSW
• Kort M Gronbach, MD
• Melissa Grooms, LPCC
• Joshua A Grosshandler, M.D.
• Sadie Elaine Grote
• David R Grove, LISW
• Rebecca Lynn Grover
• Devanique Grubb
• Matthew Joseph Gruber, DDS
• Beth Anne Grudell, CNP

• Physician Assistant in Westerville, OH
• Providers in Westerville, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.

Verify at the official NPI Registry.