Individual provider Active NPI

George S Groman, MD

  • Specialist
  • Columbia, MD
National Provider Identifier
1255308201
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D34385 Issued in MD
Practice address
10710 Charter Dr
Suite 400
Columbia, MD 21044-2858
Phone
(410) 997-7979
Fax
(410) 997-9231
NPI assigned
Mar 8, 2006
Last updated
Feb 13, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D34385 MD Primary

Addresses

Primary practice location

10710 Charter Dr
Suite 400
Columbia, MD 21044-2858

Mailing address

10710 Charter Dr
Suite 400
Columbia, MD 21044-2858
Phone (410) 997-7979

Other identifiers 5

IdentifierTypeStateIssuer
P00908346OtherMDRAILROAD MEDICARE
V879-0002OtherMDCAREFIRST GHMSI AND BLUE CHOICE
277511500MedicaidMD
414605-05OtherMDCAREFIRST OF MARYLAND
0061936OtherMDAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20091229000201 MD Practitioner - Cardiovascular Disease (Cardiology) 2062401631 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins Regional Physicians LLC CurrentSince Oct 1, 2010 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

10710 Charter Dr
Ste 400
Columbia, MD 21044
Phone (410) 997-7979

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360713600000",
    "number": "1255308201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10710 CHARTER DR",
            "address_2": "SUITE 400",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442858",
            "telephone_number": "410-997-7979",
            "fax_number": "410-997-9231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 CHARTER DR",
            "address_2": "SUITE 400",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442858",
            "telephone_number": "410-997-7979",
            "fax_number": "410-997-9231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROMAN",
        "first_name": "GEORGE",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2013-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D34385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00908346",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST GHMSI AND BLUE CHOICE",
            "identifier": "V879-0002",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277511500",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST OF MARYLAND",
            "identifier": "414605-05",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0061936",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.