Active NPI
Robert T Grossett, MD
- Diagnostic Radiology Physician
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 036090913
- Practice address
- 166 4TH St E
Saint Paul, MN 55101-1421 - Phone
- (651) 292-2009
- Fax
- (651) 292-2144
- NPI assigned
- Jul 17, 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 036090913 | IL | Primary |
Addresses
Primary practice location
166 4TH St E
Saint Paul, MN 55101-1421
Mailing address
166 4TH St E
Saint Paul, MN 55101-1421
Phone (651) 292-2009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0360909133 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080329000032 | IL | Practitioner - Diagnostic Radiology | 5496831562 | Reassigns benefits to 6 organizations |
| I20100227000107 | WI | Practitioner - Diagnostic Radiology | 5496831562 | Reassigns benefits to 2 organizations |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036090913 | IL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tomah Memorial Hospital Inc | Current | Accepting new patients | |
| Radiology Associates of Appleton, S.C. | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Partners of Iowa Inc | Diagnostic Radiology | Current | Accepting new patients |
| Medical X-Ray Consultants, LTD | Diagnostic Radiology | Current | Accepting new patients |
| Tomah Memorial Hospital Inc | Diagnostic Radiology | Current | Accepting new patients |
| Imaging Associates of Indiana, PC | Diagnostic Radiology | Current | Accepting new patients |
| Advanced Radiology, S.C. | Diagnostic Radiology | Current | Accepting new patients |
| Jackson Park Hospital Foundation | Current | Accepting new patients | |
| Tomah Memorial Hospital Inc | Current | Accepting new patients | |
| Midwest Radiology Outpatient Imaging, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Midwest Radiology, PA | Diagnostic Radiology | Past | Accepting new patients |
| Maplewood Imaging Center LLC | Diagnostic Radiology | Past | Accepting new patients |
| Medical Xray Consultants, LTD | Past | Accepting new patients | |
| Radiology Muskegon PC | Diagnostic Radiology | Past | Accepting new patients |
Locations
1001 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 472-4111
7531 S Stony Island Ave
Chicago, IL 60649
Phone (773) 947-7310
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
71 W 156th St
Ste 110
Harvey, IL 60426
Phone (708) 915-5598
1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300
615 Valley View Dr
Ste 102
Moline, IL 61265
Phone (309) 762-7227
4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520
1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160
7600 W Tidwell Rd
Ste 103
Houston, TX 77040
1000 Oakleaf Way
Altoona, WI 54720
Phone (715) 831-8130
1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101
225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313
1705 16th Ave
Cumberland, WI 54829
Phone (715) 822-7222
1720 Harding Ave
Eau Claire, WI 54701
130 2nd St
Neenah, WI 54956
Phone (920) 729-2063
100 Cty Road B
Shawano, WI 54166
Phone (715) 524-2161
1120 Pine St
Stanley, WI 54768
Phone (715) 644-5530
501 Gopher Dr
Tomah, WI 54660
Phone (608) 371-2181
601 Grove Ave
Wild Rose, WI 54984
Phone (888) 287-4488
Interoperability endpoints
- rgrossett242458@uchospital.direct-ci.com
- robertgrossett@jph.medalliesdirect.net
Organizations & group practices 15
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.
-
- Diagnostic Radiology Physician
- Olympia Fields, IL
- NPI 1841687951
IL
-
- Vascular & Interventional Radiology Physician
- Alexandria, MN
- NPI 1386601383
Diagnostic Radiology, IL
-
- Diagnostic Radiology Physician
- Rock Island, IL
- NPI 1790773539
Diagnostic Radiology, IL
-
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1699072611
Diagnostic Radiology, IL
-
- Diagnostic Radiology Physician
- Appleton, WI
- NPI 1841229093
Diagnostic Radiology, IL
-
- Diagnostic Radiology Physician
- Ottumwa, IA
- NPI 1881139566
Diagnostic Radiology, IL
-
- Critical Access Hospital
- Tomah, WI
- NPI 1992970453
Diagnostic Radiology, WI
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1497750699
-
- Medicare Defined Swing Bed Hospital Unit
- Tomah, WI
- NPI 1205978046
-
- Diagnostic Radiology Physician
- Maplewood, MN
- NPI 1164604146
Diagnostic Radiology
-
- Neurological Surgery Physician
- Alexandria, MN
- NPI 1679838023
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Wayne State University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Specialists in Medical Imaging SC
Practice addresses (Care Compare)
217 W Menomonee St
Chicago, IL 60614-5309
Phone (309) 671-8282
Hospital & facility affiliations
- Ingalls Memorial Hospital
- Jackson Park Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237939200000",
"number": "1376561720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 4TH ST E",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551011421",
"telephone_number": "651-292-2009",
"fax_number": "651-292-2144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 4TH ST E",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551011421",
"telephone_number": "651-292-2009",
"fax_number": "651-292-2144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSSETT",
"first_name": "ROBERT",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2009-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036090913",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0360909133",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.