Individual provider Active NPI

Joshua Groeniger

  • Vascular & Interventional Radiology Physician
  • Washington, DC
National Provider Identifier
1457715773
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
66090 Issued in AZ
Practice address
110 Irving St NW
Department of Surgery
Washington, DC 20010-3017
Phone
(202) 877-3536
Fax
(202) 877-3699
NPI assigned
Apr 12, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Vascular & Interventional Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0204X 66090 AZ Primary

Addresses

Primary practice location

110 Irving St NW
Department of Surgery
Washington, DC 20010-3017

Mailing address

9700 N 91St St Ste 200
Scottsdale, AZ 85258-5054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20220705001755 AZ Practitioner - Diagnostic Radiology 1052791373 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Georgetown University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians
Southwest Diagnostic Imaging LLCGroup PAC ID 7416946199, 121 clinicians

Practice addresses (Care Compare)

10230 W Happy Valley Pkwy
Suite 100
Peoria, AZ 85383-4255
Phone (832) 915-2534

1515 E Bethany Home Rd
Phoenix, AZ 85014-2495
Phone (832) 915-2534

19829 N 27TH Ave
Phoenix, AZ 85027-4001
Phone (832) 915-2534

250 E Dunlap Ave
Phoenix, AZ 85020-2825
Phone (832) 915-2534

33400 N 32ND Ave
Phoenix, AZ 85085-8876
Phone (832) 915-2534

3648 W Anthem Way
Suite A100
Anthem, AZ 85086-7002
Phone (832) 915-2534

6220 W Bell Rd
Suite 110
Glendale, AZ 85308-3896
Phone (832) 915-2534

6750 E Baywood Ave
Mesa, AZ 85206-1749
Phone (832) 915-2534

7400 E Osborn Rd
Scottsdale, AZ 85251-6432
Phone (832) 915-2534

7400 E Thompson Peak Pkwy
Scottsdale, AZ 85255-4109
Phone (832) 915-2534

9003 E Shea Blvd
Scottsdale, AZ 85260-6709
Phone (832) 915-2534

9220 E Mountain View Rd
Suite 100
Scottsdale, AZ 85258-5134
Phone (480) 425-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Diagnostic Imaging LLC Single Specialty CurrentSince May 2, 2022 Accepting new patients
Sonoran Radiology LTD Single Specialty CurrentSince May 2, 2022 Accepting new patients

Locations

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

6220 W Bell Rd
Ste 110
Glendale, AZ 85308
Phone (602) 547-7230

5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217

1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

10230 W Happy Valley Pkwy
Ste 100
Peoria, AZ 85383
Phone (623) 266-4699

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

33400 N 32nd Ave
Phoenix, AZ 85085
Phone (540) 998-0000

19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720

16641 N 40th St
Ste 1
Phoenix, AZ 85032
Phone (623) 931-7999

2323 W Rose Garden Ln
Phoenix, AZ 85027
Phone (623) 931-7999

1515 E Bethany Home Rd
Phoenix, AZ 85014
Phone (602) 812-3080

3501 N Scottsdale Rd
Ste 130
Scottsdale, AZ 85251

7400 E Thompson Peak Pkwy
Scottsdale, AZ 85255
Phone (480) 324-7000

9220 E Mountain View Rd
Ste 100
Scottsdale, AZ 85258

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

5316 E Shea Blvd
Ste 150
Scottsdale, AZ 85254
Phone (480) 534-4530

16575 W Waddell Rd
Surprise, AZ 85388
Phone (623) 300-9110

1625 N Campbell Ave
Tucson, AZ 85719

235 Forest St
Unit 686
Wausau, WI 54402

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1457715773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 N 91ST ST STE 200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 IRVING ST NW",
            "address_2": "DEPARTMENT OF SURGERY",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200103017",
            "telephone_number": "202-877-3536",
            "fax_number": "202-877-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROENIGER",
        "first_name": "JOSHUA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-12",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "AZ",
            "license": "66090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.