Individual provider Active NPI

Jacob Nathaniel Grow

  • Plastic Surgery Physician
  • Cleveland, OH
National Provider Identifier
1487071650
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
35.139823 Issued in OH
Practice address
9500 Euclid Ave
Cleveland, OH 44195-8500
Phone
(216) 444-2200
NPI assigned
Mar 25, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 35.139823 OH Primary

Addresses

Primary practice location

9500 Euclid Ave
Cleveland, OH 44195-8500

Mailing address

6023 Leatherback Dr
Columbus, IN 47201-7593
Phone (812) 344-0766

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210629000455 IN Practitioner - Plastic and Reconstructive Surgery 5496054280 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Indiana University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Indiana Aesthetic and Plastic Surgery LLCGroup PAC ID 3870752462, 2 clinicians

Practice addresses (Care Compare)

2450 N Park B
Columbus, IN 47203-2292
Phone (812) 376-8997

Hospital & facility affiliations

  • Columbus Regional Hospital Hospital, Columbus, IN, CCN 150112
  • Decatur County Memorial Hospital Hospital, Greensburg, IN, CCN 151332

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy12
Melanoma (skin cancer) excision18
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Decatur County Memorial Hospital CurrentSince Aug 15, 2025 Accepting new patients
Southern Indiana Aesthetic and Plastic Surgery LLC CurrentSince Aug 1, 2021 Accepting new patients
Decatur County Memorial Hospital Current Accepting new patients
Decatur County Memorial Hospital CurrentSince Jan 1, 2025 Accepting new patients
Major Hospital Past Accepting new patients

Locations

2450 Northpark Dr
Ste B
Columbus, IN 47203
Phone (812) 376-8997

720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349

Interoperability endpoints

  • Direct secure messaging: jacobgrow@siaps.directglo.com
  • Direct secure messaging: jacob.grow@direct.dcmh.net
  • Direct secure messaging: jgrow485977@ecommunitydirect.com

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.

Hospital & facility affiliations 2

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": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1487071650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6023 LEATHERBACK DR",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472017593",
            "telephone_number": "812-344-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441958500",
            "telephone_number": "216-444-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROW",
        "first_name": "JACOB",
        "middle_name": "NATHANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-25",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "OH",
            "license": "35.139823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.