NPIMap

Individual provider Active NPI

Steven R Grogg, D.O.

  • Internal Medicine Physician
  • Sarasota, FL
National Provider Identifier
1275537797
Registry record updated Oct 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS8062 Issued in FL
Practice address
1931 S Tuttle Ave
Sarasota, FL 34239-3115
Phone
(941) 955-8800
Fax
(941) 955-8842
NPI assigned
Jun 13, 2005
Last updated
Oct 15, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS8062 FL Primary
Pediatrics Physician 208000000X OS8062 FL

Addresses

Primary practice location

1931 S Tuttle Ave
Sarasota, FL 34239-3115

Mailing address

1931 S Tuttle Ave
Sarasota, FL 34239-3115
Phone (941) 955-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101123000710 FL Practitioner - Internal MedicinePractitioner - Pediatric Medicine 3375564651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Oklahoma State University College of Osteopathic Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medpeds Associates of SarasotaGroup PAC ID 9032130315, 2 clinicians

Practice addresses (Care Compare)

1931 S Tuttle Ave
Sarasota, FL 34239-3115
Phone (941) 955-8800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.02 of 100Reported as individual
Quality
86.04
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS8062FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medpeds Associates of Sarasota Internal Medicine CurrentSince Feb 23, 2000 Accepting new patients

Locations

1931 S Tuttle Ave
Sarasota, FL 34239
Phone (941) 955-8800

Organizations & group practices 1

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.

Hospital & facility affiliations 6

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": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287100800000",
    "number": "1275537797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 S TUTTLE AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393115",
            "telephone_number": "941-955-8800",
            "fax_number": "941-955-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 S TUTTLE AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393115",
            "telephone_number": "941-955-8800",
            "fax_number": "941-955-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROGG",
        "first_name": "STEVEN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2010-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS8062",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "OS8062",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.