Individual provider Active NPI

Joshua Gruber, D.O.

  • Emergency Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1497136402
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OT016645 Issued in PA
Practice address
230 N Broad St
Philadelphia, PA 19102-1121
Phone
(757) 377-9331
NPI assigned
Jun 16, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OT016645 PA Primary

Addresses

Primary practice location

230 N Broad St
Philadelphia, PA 19102-1121

Mailing address

328 Grace St
Smithfield, VA 23430-1112
Phone (757) 377-9331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OH, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180918003731 IN Practitioner - Emergency Medicine 8820349673 Reassigns benefits to 3 organizations
I20200925002664 OH Practitioner - Emergency Medicine 8820349673 Reassigns benefits to 2 organizations
I20250106001314 FL Practitioner - Critical Care (Intensivists)Practitioner - Emergency Medicine 8820349673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Emergency Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intensive Care Consortium IncGroup PAC ID 0244269413, 485 clinicians

Practice addresses (Care Compare)

119 Oakfield Dr
Brandon, FL 33511-5779
Phone (561) 997-0821

Hospital & facility affiliations

  • HCA Florida Brandon Hospital Hospital, Brandon, FL, CCN 100243

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT016645PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Emergency Professionals Inc Emergency Medicine CurrentSince Jun 1, 2021 Accepting new patients
Intensive Care Consortium Inc CurrentSince Oct 1, 2024 Accepting new patients
Southeastern Emergency Physicians of Memphis LLC Emergency Medicine CurrentSince Aug 31, 2018 Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Aug 15, 2020 Accepting new patients
Emergency Professionals of Indiana, P.C. Emergency Medicine CurrentSince Nov 1, 2018 Accepting new patients
Indiana Emergency Professionals PC Emergency Medicine CurrentSince Aug 23, 2018 Accepting new patients

Locations

119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

11375 Cortez Blvd
Weeki Wachee, FL 34613
Phone (352) 596-4209

2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243

1116 Millis Ave
Boonville, IN 47601
Phone (812) 897-4800

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

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

600 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 532-2700

1451 N Gardner St
Scottsburg, IN 47170
Phone (812) 752-8500

411 W Tipton St
Seymour, IN 47274
Phone (317) 888-3505

307 S Evergreen Ave
Woodbury, NJ 08096
Phone (856) 686-4300

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

1250 S Washington St
Van Wert, OH 45891
Phone (419) 232-2077

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 6

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 1

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": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434412800000",
    "number": "1497136402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 GRACE ST",
            "city": "SMITHFIELD",
            "state": "VA",
            "postal_code": "234301112",
            "telephone_number": "757-377-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021121",
            "telephone_number": "757-377-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBER",
        "first_name": "JOSHUA",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OT016645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.