Individual provider Active NPI

Ryan Michael Grote, D.O.

  • Surgery Physician
  • Hamilton, OH
National Provider Identifier
1578834255
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
34.011142 Issued in OH
Practice address
1380 NW Washington Blvd
Hamilton, OH 45013-1208
Phone
(937) 829-7133
Fax
(513) 829-7134
NPI assigned
Jan 26, 2012
Last updated
Jan 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 34.011142 OH Primary

Addresses

Primary practice location

1380 NW Washington Blvd
Hamilton, OH 45013-1208

Mailing address

1380 NW Washington Blvd
Hamilton, OH 45013-1208
Phone (513) 829-7133

Other practice location 1

1251 Nilles Rd
Suite 17
Fairfield, OH 45014-7206
Phone (513) 829-7133

Other identifiers 1

IdentifierTypeStateIssuer
0168393MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rgrote461412@direct.ketteringhealth.org
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20160621002902 OH Practitioner - General Surgery 2567600471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Midwestern University, Chicago College of Osteopathic Med, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians

Practice addresses (Care Compare)

1380 NW Washington Blvd
Hamilton, OH 45013-1208
Phone (855) 500-2873

2449 Ross Millville Rd
Hamilton, OH 45013-8952

4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 433-5309

4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7751

5095 University Park Blvd
Oxford, OH 45056-9384
Phone (513) 867-1200

630 Eaton Ave
Hamilton, OH 45013-2767
Phone (937) 395-8646

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.34 of 100Reported as group
Quality
63.67
Promoting interoperability
100
Improvement activities
40
Cost
74.14

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kettering Independent Medical Group Inc Surgery CurrentSince Dec 29, 2022 Accepting new patients
The Fort Hamilton Hospital Past Accepting new patients
Mercy Health Urgent Care LLC Past Accepting new patients

Locations

1251 Nilles Rd
Ste 17
Fairfield, OH 45014
Phone (513) 829-7133

1380 NW Washington Blvd
Hamilton, OH 45013
Phone (513) 863-2800

1391 Main St
Hamilton, OH 45013
Phone (513) 867-9000

2449 Ross Millville Rd
Ste 265
Hamilton, OH 45013
Phone (513) 829-7133

2449 Ross Millville Rd
Ste B50
Hamilton, OH 45013
Phone (513) 737-6068

520 Eaton Ave
Hamilton, OH 45013
Phone (513) 896-2200

903 NW Washington Blvd
Ste D
Hamilton, OH 45013
Phone (513) 863-0909

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3920

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 762-1306

10 N Locust St
Ste D
Oxford, OH 45056
Phone (513) 523-3234

5095 University Park Blvd
Oxford, OH 45056
Phone (513) 867-1200

Interoperability endpoints

  • Direct secure messaging: rgrote461412@direct.ketteringhealth.org

Organizations & group practices 3

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": "1327536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1578834255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 NW WASHINGTON BLVD",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450131208",
            "telephone_number": "513-829-7133",
            "fax_number": "513-829-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 NW WASHINGTON BLVD",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450131208",
            "telephone_number": "937-829-7133",
            "fax_number": "513-829-7134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1251 Nilles Rd",
            "address_2": "Suite 17",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "OH",
            "postal_code": "450147206",
            "country_code": "US",
            "telephone_number": "513-829-7133",
            "fax_number": "513-829-7134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROTE",
        "first_name": "RYAN",
        "middle_name": "MICHAEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-26",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "34.011142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0168393",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rgrote461412@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "1380 NW Washington Blvd",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450131208",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1380 NW Washington Blvd",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450131208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

Verify at the official NPI Registry.