Active NPI
Corey Nathanial Groh, D.P.M.
- Podiatrist
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 41000274A
- Practice address
- 10122 E 10TH St Ste 230
Indianapolis, IN 46229-2664 - Phone
- (317) 355-7120
- Fax
- (317) 355-9219
- NPI assigned
- Jul 5, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 41000274A | IN | |
| Podiatrist | 213E00000X | 41000274A | IN | Primary |
Addresses
Primary practice location
10122 E 10TH St Ste 230
Indianapolis, IN 46229-2664
Mailing address
6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890
Phone (317) 621-7468
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- William M. Scholl College of Podiatric Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10122 E 10TH St
Suite 230
Indianapolis, IN 46229-2664
Phone (317) 898-6624
Hospital & facility affiliations
- Community Hospital of Anderson and Madison County
- Community Hospital East
- Community Hospital North
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 102 |
| Removal of nail tissue | 443 |
| Removal or shaving of skin growth | 60 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients |
Locations
5819 Reliable Pkwy
Chicago, IL 60686
1622 N Madison Ave
Anderson, IN 46011
Phone (765) 641-0001
1221 Medical Arts Blvd
Anderson, IN 46011
Phone 76529851173453
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
10122 E 10th St
Ste 230
Indianapolis, IN 46229
Phone (317) 355-7356
Interoperability endpoints
- cgroh53832@ecommunitydirect.com
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
-
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1336119478
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1619163854
-
- General Acute Care Hospital
- Anderson, IN
- NPI 1972500452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734912000000",
"number": "1386909349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6626 E 75TH ST STE 500",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502890",
"telephone_number": "317-621-7468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10122 E 10TH ST STE 230",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462292664",
"telephone_number": "317-355-7120",
"fax_number": "317-355-9219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROH",
"first_name": "COREY",
"middle_name": "NATHANIAL",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-05",
"last_updated": "2024-12-23",
"certification_date": "2024-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IN",
"license": "41000274A",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IN",
"license": "41000274A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.