Individual provider Active NPI

Robert T Grossett, MD

  • Diagnostic Radiology Physician
  • Saint Paul, MN
National Provider Identifier
1376561720
Registry record updated Mar 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036090913 Issued in IL
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

Updated by the provider on Mar 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0360909133MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036090913ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tomah Memorial Hospital Inc CurrentSince Jul 1, 2025 Accepting new patients
Radiology Associates of Appleton, S.C. Diagnostic Radiology CurrentSince Aug 20, 2024 Accepting new patients
Radiology Partners of Iowa Inc Diagnostic Radiology CurrentSince Jun 9, 2018 Accepting new patients
Medical X-Ray Consultants, LTD Diagnostic Radiology CurrentSince Sep 8, 2025 Accepting new patients
Tomah Memorial Hospital Inc Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Mar 1, 2026 Accepting new patients
Advanced Radiology, S.C. Diagnostic Radiology CurrentSince Apr 25, 2025 Accepting new patients
Jackson Park Hospital Foundation Current Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Nov 1, 2025 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 PastSince Jan 1, 2008 Accepting new patients
Medical Xray Consultants, LTD PastSince May 16, 2021 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

  • Direct secure messaging: rgrossett242458@uchospital.direct-ci.com
  • Direct secure messaging: 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.

View all 15

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 228 clinicians

Practice addresses (Care Compare)

217 W Menomonee St
Chicago, IL 60614-5309
Phone (309) 671-8282

Hospital & facility affiliations

  • Ingalls Memorial Hospital Hospital, Harvey, IL, CCN 140191
  • Jackson Park Hospital Hospital, Chicago, IL, CCN 140177

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

Verify at the official NPI Registry.