Individual provider Active NPI

Elliot Groff, DO

  • Obstetrics & Gynecology Physician
  • Pensacola, FL
National Provider Identifier
1508328345
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
U1281 Issued in TX
Practice address
1657 Trinity Dr
Pensacola, FL 32504-5708
Phone
(850) 416-2400
Fax
(850) 416-2330
NPI assigned
Apr 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X U1281 TX Primary
Obstetrics & Gynecology Physician 207V00000X UO6751 FL

Addresses

Primary practice location

1657 Trinity Dr
Pensacola, FL 32504-5708

Mailing address

1657 Trinity Dr
Pensacola, FL 32504-5708

Other practice location 1

12221 Renfert Way Ste 330
Austin, TX 78758-5374
Phone (512) 425-3825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230517003111 TX Practitioner - Obstetrics/Gynecology 5092171017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unified Womens Healthcare of Texas PLLCGroup PAC ID 4385944230, 180 clinicians

Practice addresses (Care Compare)

12221 N Mo Pac Expy
Austin, TX 78758-2401
Phone (512) 901-1000

Merit-based Incentive Payment System (MIPS)

Final score
87.86 of 100Reported as group
Quality
85.25
Promoting interoperability
100
Improvement activities
40
Cost
74.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
UO6751FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unified Women's Healthcare of Texas PLLC Obstetrics & Gynecology CurrentSince May 9, 2023 Accepting new patients
St Davids Healthcare Partnership LP LLP Past Accepting new patients

Locations

12345 N Lamar Blvd
Ste 260
Austin, TX 78753
Phone (512) 425-3825

12221 Renfert Way
Ste 330
Austin, TX 78758
Phone (512) 425-3823

Interoperability endpoints

  • Direct secure messaging: elliot.groff.1@11541.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1508328345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1657 TRINITY DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325045708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1657 TRINITY DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325045708",
            "telephone_number": "850-416-2400",
            "fax_number": "850-416-2330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12221 Renfert Way Ste 330",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787585374",
            "country_code": "US",
            "telephone_number": "512-425-3825",
            "fax_number": "512-425-3829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROFF",
        "first_name": "ELLIOT",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-01",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "U1281",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "UO6751",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.