Individual provider Active NPI

David J Gronski, MD

  • Sports Medicine (Family Medicine) Physician
  • Madison, WI
National Provider Identifier
1316990161
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
33507-020 Issued in WI
Practice address
2501 W Beltline Hwy
Suite 601
Madison, WI 53713-2318
Phone
(608) 294-6464
Fax
(608) 288-6495
NPI assigned
May 19, 2006
Last updated
Nov 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 33507-020 WI Primary

Addresses

Primary practice location

2501 W Beltline Hwy
Suite 601
Madison, WI 53713-2318

Mailing address

2501 W Beltline Hwy
Suite 601
Madison, WI 53713-2318
Phone (608) 294-6464

Other identifiers 1

IdentifierTypeStateIssuer
1316990161MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dgronski260120@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33507-020WIMDSports Medicine (Family Medicine) Physician

Interoperability endpoints

  • Direct secure messaging: dgronski260120@direct-ehr-ssmhc.com

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1316990161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 W BELTLINE HWY",
            "address_2": "SUITE 601",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537132318",
            "telephone_number": "608-294-6464",
            "fax_number": "608-288-6495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W BELTLINE HWY",
            "address_2": "SUITE 601",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537132318",
            "telephone_number": "608-294-6464",
            "fax_number": "608-288-6495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRONSKI",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "WI",
            "license": "33507-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316990161",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dgronski260120@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "dgronski260120@direct-ehr-ssmhc.com",
            "address_1": "2501 W Beltline Hwy",
            "address_2": "Suite 601",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537132318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "2501 W Beltline Hwy",
            "address_2": "Suite 601",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537132318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.