Individual provider Active NPI

George E Groleau, M.D.

  • Dermatology Physician
  • Lancaster, PA
National Provider Identifier
1285678664
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD035293E Issued in PA
Practice address
203 N Lime St
Lancaster, PA 17602-2729
Phone
(717) 392-6267
NPI assigned
Jun 15, 2006
Last updated
Sep 16, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD035293E PA Primary

Addresses

Primary practice location

203 N Lime St
Lancaster, PA 17602-2729

Mailing address

203 N Lime St
Lancaster, PA 17602-2729
Phone (717) 392-6267

Other identifiers 4

IdentifierTypeStateIssuer
562859OtherPAAETNA
01624201OtherPACAP BLUE CROSS
07003589OtherRR MEDICARE
140421OtherPABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20110118001119 PA Practitioner - Dermatology 7911948427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Maryland School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Physicians IncGroup PAC ID 4082651765, 12 clinicians

Practice addresses (Care Compare)

203 N Lime St
Lancaster, PA 17602-2729
Phone (717) 392-6267

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.78 of 100Reported as group
Quality
93.55
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions676
Removal or shaving of skin growth67
Skin biopsy43

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatologist of Lancaster LLC Dermatology PastSince Aug 4, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ggroleau@directaddress.net

Organizations & group practices 2

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 7

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316131200000",
    "number": "1285678664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 N LIME ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022729",
            "telephone_number": "717-392-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 N LIME ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022729",
            "telephone_number": "717-392-6267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROLEAU",
        "first_name": "GEORGE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2011-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD035293E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "562859",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAP BLUE CROSS",
            "identifier": "01624201",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "07003589",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "140421",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.