Active NPI
Matthew C Grothaus, M.D.
- Orthopaedic Surgery Physician
- Hicksville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 35087589
- Practice address
- 208 Columbus St
Hicksville, OH 43526 - Phone
- (419) 542-5669
- Fax
- (419) 542-5667
- NPI assigned
- Jul 22, 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 35087589 | OH | Primary |
Addresses
Primary practice location
208 Columbus St
Hicksville, OH 43526
Mailing address
208 Columbus St
Hicksville, OH 43526-1299
Phone (419) 542-5669
Other practice location 1
442 W High St
Bryan, OH 43506-1681
Phone (419) 636-4517 ext. 4444
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2791331 | Medicaid | OH | |
| 35-087589 | Other | OH | LICENSE |
| P00453968 | Other | OH | RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Toledo Medical College, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1250 Ralston Ave
Suite 104
Defiance, OH 43512-5308
Phone (419) 783-7300
Hospital & facility affiliations
- Elara Caring
- Ohioans Home Healthcare, Inc
- Promedica Defiance Regional Hospital
- Community Hospitals and Wellness Centers
- Paulding County Hospital
- Community Hospitals and Wellness Centers
- Promedica Toledo Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 23 |
| Knee replacement | 48 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 32 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promedica Central Physicians | Current | Accepting new patients | |
| Parkview Health System, Inc. | Orthopaedic Surgery | Current | Accepting new patients |
| Promedica Central Physicians | Orthopaedic Surgery | Current | Accepting new patients |
| Parkview Health System Inc | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
11109 Parkview Plaza Dr
Fort Wayne, IN 46845
Phone (260) 266-2020
3926 New Vision Dr
Fort Wayne, IN 46845
Phone (260) 266-8210
240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000
512 Professional Way
Kendallville, IN 46755
Phone (260) 347-8556
442 W High St
Bryan, OH 43506
Phone (260) 266-8210
1252 Ralston Ave
Ste 302
Defiance, OH 43512
Phone (419) 783-6996
1250 Ralston Ave
Ste 104
Defiance, OH 43512
Phone (419) 784-3044
208 Columbus St
Hicksville, OH 43526
Phone (419) 542-6692
2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112
Interoperability endpoints
- mgrothaus24697@direct.promedica.org
Organizations & group practices 5
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
- Toledo, OH
- NPI 1043270150
-
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1932130952
-
- Durable Medical Equipment & Medical Supplies
- Toledo, OH
- NPI 1669068482
Orthopaedic Surgery
-
- Internal Medicine Physician
- Fort Wayne, IN
- NPI 1952411233
Orthopaedic Surgery
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Montpelier, OH
- NPI 1275575227
-
- General Acute Care Hospital
- Bryan, OH
- NPI 1962458521
-
- Critical Access Hospital
- Defiance, OH
- NPI 1699775726
-
- Home Health Agency
- Toledo, OH
- NPI 1326478876
-
- Home Health Agency
- Perrysburg, OH
- NPI 1093836546
-
- Critical Access Hospital
- Paulding, OH
- NPI 1144298514
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534204800000",
"number": "1417978776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 COLUMBUS ST",
"city": "HICKSVILLE",
"state": "OH",
"postal_code": "435261299",
"telephone_number": "419-542-5669",
"fax_number": "419-542-5667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 COLUMBUS ST",
"city": "HICKSVILLE",
"state": "OH",
"postal_code": "43526",
"telephone_number": "419-542-5669",
"fax_number": "419-542-5667"
}
],
"practiceLocations": [
{
"address_1": "442 W High St",
"address_purpose": "LOCATION",
"city": "Bryan",
"state": "OH",
"postal_code": "435061681",
"country_code": "US",
"telephone_number": "419-636-4517 x4444",
"fax_number": "419-636-6438",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GROTHAUS",
"first_name": "MATTHEW",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-22",
"last_updated": "2018-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OH",
"license": "35087589",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2791331",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "35-087589",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00453968",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hicksville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.