Individual provider Active NPI

Thomas James Gruber, M.D.

  • Neurological Surgery Physician
  • Paducah, KY
National Provider Identifier
1487924353
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
45110 Issued in KY
Practice address
2603 Kentucky Ave
Suite 404
Paducah, KY 42003-3814
Phone
(270) 443-6472
Fax
(270) 442-1649
NPI assigned
Jan 9, 2012
Last updated
Dec 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 45110 KY Primary

Addresses

Primary practice location

2603 Kentucky Ave
Suite 404
Paducah, KY 42003-3814

Mailing address

PO Box 7909
Paducah, KY 42002-7909
Phone (270) 744-9600

Other identifiers 1

IdentifierTypeStateIssuer
7100202710MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tgruber7001@bhkydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20120514000673 KY Practitioner - Neurosurgery 6709049596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
State University of New York at Buffalo School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

2603 Kentucky Ave
Suite 404
Paducah, KY 42003-3830
Phone (270) 443-6472

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion133
Laminectomy or laminotomy (partial removal of spine bones)66
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45110KYMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince May 1, 2016 Accepting new patients
Western Baptist Medical Ventures, Inc. Neurological Surgery Past Accepting new patients

Locations

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

2603 Kentucky Ave
Ste 402
Paducah, KY 42003
Phone (270) 443-2830

2603 Kentucky Ave
Ste 404
Paducah, KY 42003
Phone (270) 443-6472

2605 Kentucky Ave
Ste 306
Paducah, KY 42003
Phone (270) 415-7653

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1326067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1487924353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7909",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420027909",
            "telephone_number": "270-744-9600",
            "fax_number": "270-744-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 KENTUCKY AVE",
            "address_2": "SUITE 404",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033814",
            "telephone_number": "270-443-6472",
            "fax_number": "270-442-1649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBER",
        "first_name": "THOMAS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-09",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "KY",
            "license": "45110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100202710",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tgruber7001@bhkydirect.com",
            "affiliation": "N",
            "address_1": "2603 Kentucky Ave",
            "address_2": "SUITE 404",
            "city": "Paducah",
            "state": "KY",
            "country_code": "US",
            "postal_code": "420033814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.