Jeffrey Wendell Grolig, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

C414610 Issued in CA

Practice address

5000 Bechelli Lane
Suite 102
Redding, CA 96002-3553

Phone

(530) 221-2520

Fax

(530) 223-2899

NPI assigned

Jan 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Specialty

Physical Medicine and Rehabilitation

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Medical Center Redding Hospital, Redding, CA, CCN 050280

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Jeffrey W Grolig MD Inc

  • Rehabilitation Clinic/Center
  • Red Bluff, CA
  • NPI 1942489117
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Health

  dba Mercy Medical Center Redding

  • General Acute Care Hospital
  • Redding, CA
  • NPI 1477671535
  Care Compare affiliation

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447303631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 BECHELLI LANE",
            "address_2": "SUITE 102",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960023553",
            "telephone_number": "530-221-2520",
            "fax_number": "530-223-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BECHELLI LANE",
            "address_2": "SUITE 102",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960023553",
            "telephone_number": "530-221-2520",
            "fax_number": "530-223-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROLIG",
        "first_name": "JEFFREY",
        "middle_name": "WENDELL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "C414610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C414610",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR PROVIDERS #",
            "identifier": "41461",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Louis Greve, D.C.
• Ellawyn Grey
• Marc Griffey, M.D.
• Hailie Lyn Griffith
• Travis Griffith, AMFT
• Sandra Lynn Groom, LCSW
• Stephen Paul Grosse, D.C.
• Groups - Recover Together California, Inc., a Professional Medical Cor (Groups Recover Together)
• Groups - Recover Together California, Inc., a Professional Medical Cor (Groups Recover Together)
• Groups- Recover Together California (Groups Recover Together)

• Physical Medicine & Rehabilitation Physician in Redding, CA
• Providers in Redding, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.