Active NPI
David L. Groden, M.D.
- Cardiovascular Disease Physician
- Brookfield, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 31054
- Practice address
- 16650 W Bluemound Rd
Suite 200
Brookfield, WI 53005-5920 - Phone
- (262) 827-9200
- Fax
- (262) 827-9858
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 31054 | WI | Primary |
Addresses
Primary practice location
16650 W Bluemound Rd
Suite 200
Brookfield, WI 53005-5920
Mailing address
16650 W Bluemound Rd
Suite 200
Brookfield, WI 53005-5920
Phone (262) 827-9200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31605700 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
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.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| Ascension Medical Group-Southeast Wisconsin Inc | Current | Accepting new patients | |
| The Medical College of Wisconsin, Inc. | Current | Accepting new patients | |
| Milwaukee Heart Specialists, S.C. | Cardiovascular Disease | Past | Accepting new patients |
| Ozarks Medical Center | Past | Accepting new patients | |
| Wisconsin Heart Group Associates LLC | Cardiovascular Disease | Past | Accepting new patients |
| Wisconsin Heart Group | Cardiovascular Disease | Past | Accepting new patients |
Locations
16650 W Bluemound Rd
Ste 200
Brookfield, WI 53005
Phone (262) 827-9200
13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400
16650 W Bluemound Rd
Ste 300
Brookfield, WI 53005
W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060
W180N8085 Town Hall Rd
Fl 3
Menomonee Falls, WI 53051
10911 N Port Washington Rd
Mequon, WI 53092
Phone (262) 241-2080
Bin 88350
Milwaukee, WI 53288
Phone (414) 805-3122
2025 W Oklahoma Ave
Ste 121
Milwaukee, WI 53215
Phone (414) 671-1711
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000
201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
840 N 87th St
Wauwatosa, WI 53226
Phone (414) 805-5540
3200 Pleasant Valley Rd
West Bend, WI 53095
Phone (262) 334-5533
Organizations & group practices 8
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.
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- Internal Medicine Physician
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- NPI 1609881077
-
- Internal Medicine Physician
- Menomonee Falls, WI
- NPI 1568787448
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
-
- Cardiovascular Disease Physician
- Brookfield, WI
- NPI 1326086943
-
- Durable Medical Equipment & Medical Supplies
- Wauwatosa, WI
- NPI 1154947224
-
- Cardiovascular Disease Physician
- Milwaukee, WI
- NPI 1548242084
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Brookfield, WI
- NPI 1639402365
Cardiovascular Disease
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442275200000",
"number": "1275575276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16650 W BLUEMOUND RD",
"address_2": "SUITE 200",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530055920",
"telephone_number": "262-827-9200",
"fax_number": "262-827-9858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16650 W BLUEMOUND RD",
"address_2": "SUITE 200",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530055920",
"telephone_number": "262-827-9200",
"fax_number": "262-827-9858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRODEN",
"first_name": "DAVID",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2015-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WI",
"license": "31054",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31605700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.