NPIMap

Individual provider Active NPI

Joshua Gruenbaum

  • Emergency Medicine Physician
  • Toledo, OH
National Provider Identifier
1295296648
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34.015160 Issued in OH
Practice address
2213 Cherry St
Toledo, OH 43608-2603
Phone
(419) 251-4724
NPI assigned
Mar 28, 2019
Sex
Male
Sole proprietor
No

Organizations & group practices 22

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.

Hospital & facility affiliations 3

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

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - Ohio LLC 17 clinicians
Cep America LLC 995 clinicians

Practice addresses (Care Compare)

500 S Cleveland Ave
Westerville, OH 43081-8971
Phone (614) 898-4000

8602 Allisonville Rd
Indianapolis, IN 46250-1574
Phone (317) 703-1970

Hospital & facility affiliations

  • Mount Carmel St Ann'S Hospital, Westerville, OH, CCN 360012
  • Ascension St Vincent Hospital Hospital, Indianapolis, IN, CCN 150084

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

Merit-based Incentive Payment System (MIPS)

Final score
83.26 of 100Reported as group
Quality
71.73
Improvement activities
40
Cost
80.68

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20211216002890 OH Practitioner - Internal Medicine 8426383977 Reassigns benefits to 1 organization
I20241217001184 IN Practitioner - Emergency Medicine 8426383977 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02008075AINMDEmergency Medicine Physician
34.015160OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC Emergency Medicine CurrentSince Dec 11, 2024 Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Dec 11, 2024 Accepting new patients
Cep America - Ohio LLC Emergency Medicine CurrentSince Aug 18, 2023 Accepting new patients
Cep America - Ohio LLC Emergency Medicine CurrentSince Aug 18, 2023 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

8602 Allisonville Rd
Indianapolis, IN 46250
Phone (317) 703-1970

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

7100 Graphics Way
Lewis Center, OH 43035
Phone (740) 428-0428

500 S Cleveland Ave
Westerville, OH 43081
Phone (380) 898-4000

Interoperability endpoints

  • Direct secure messaging: jgruenbaum2836161@direct.trinity-health.org

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 34.015160 OH Primary
Emergency Medicine Physician 207P00000X 02008075A IN

Addresses

NPPES NPI Registry

Primary practice location

2213 Cherry St
Toledo, OH 43608-2603

Mailing address

2213 Cherry St
Toledo, OH 43608-2603

Other practice location 1

1111 Hayes Ave
Sandusky, OH 44870-3323
Phone (419) 557-7419

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 12, 2024.

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1295296648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 CHERRY ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 CHERRY ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082603",
            "telephone_number": "419-251-4724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Hayes Ave",
            "address_purpose": "LOCATION",
            "city": "Sandusky",
            "state": "OH",
            "postal_code": "448703323",
            "country_code": "US",
            "telephone_number": "419-557-7419",
            "fax_number": "419-557-6979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUENBAUM",
        "first_name": "JOSHUA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-28",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.015160",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "02008075A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.