Individual provider Active NPI

Deepak Parkash Grover, D.O.

  • Ophthalmology Physician
  • Blue Bell, PA
National Provider Identifier
1588808554
Registry record updated Oct 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
OS014807 Issued in PA
Practice address
686 Dekalb Pike
Blue Bell, PA 19422-1258
Phone
(610) 492-2020
Fax
(610) 492-2021
NPI assigned
Apr 21, 2009
Last updated
Oct 25, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X OS014807 PA Primary

Addresses

Primary practice location

686 Dekalb Pike
Blue Bell, PA 19422-1258

Mailing address

686 Dekalb Pike
Blue Bell, PA 19422-1258
Phone (610) 492-2020

Other practice location 1

1098 W Baltimore Pike Ste 3407
Media, PA 19063-5139
Phone (610) 566-7127

Other practice location 2

2010 W Chester Pike Ste 310
Havertown, PA 19083-2737
Phone (610) 446-2260

Other identifiers 1

IdentifierTypeStateIssuer
1024939070001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100917000912 PA Practitioner - Ophthalmology 7214052992 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare of the Valley P.C.Group PAC ID 7810968518, 7 clinicians
Blue Bell Eye Care and Surgery, PCGroup PAC ID 4981951738, 2 clinicians

Practice addresses (Care Compare)

240 Pottstown Ave
Pennsburg, PA 18073-1803
Phone (215) 679-3500

686 Dekalb Pike
Suite 202
Blue Bell, PA 19422-1258
Phone (610) 492-2020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery528

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS014807PAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard L Jahnle MD PC Ophthalmology CurrentSince Sep 1, 2018 Accepting new patients
Blue Bell Eye Care & Surgery, P.C. Ophthalmology CurrentSince Jul 6, 2018 Accepting new patients
Eyecare of the Valley P.C. Ophthalmology CurrentSince Jun 10, 2021 Accepting new patients
Domenick Braccia D.O. PastSince Sep 1, 2018 Accepting new patients
Stevens Eye Care, P.C. Ophthalmology PastSince Mar 1, 2020 Accepting new patients
Jean a Astorino OD PC PastSince Sep 1, 2018 Accepting new patients
Lehigh Valley Center for Sight PC PastSince Jul 1, 1998 Accepting new patients

Locations

686 DeKalb Pike
Ste 202
Blue Bell, PA 19422
Phone (610) 492-2020

2010 W Chester Pike
Havertown, PA 19083
Phone (610) 446-2260

2010 W Chester Pike
Ste 310
Havertown, PA 19083
Phone (610) 446-2260

1098 W Baltimore Pike
Ste 3407
Media, PA 19063
Phone (610) 566-7096

240 Pottstown Ave
Pennsburg, PA 18073
Phone (215) 679-3500

Organizations & group practices 7

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": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1588808554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "686 DEKALB PIKE",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221258",
            "telephone_number": "610-492-2020",
            "fax_number": "610-492-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "686 DEKALB PIKE",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221258",
            "telephone_number": "610-492-2020",
            "fax_number": "610-492-2021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1098 W Baltimore Pike Ste 3407",
            "address_purpose": "LOCATION",
            "city": "Media",
            "state": "PA",
            "postal_code": "190635139",
            "country_code": "US",
            "telephone_number": "610-566-7127",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2010 W Chester Pike Ste 310",
            "address_purpose": "LOCATION",
            "city": "Havertown",
            "state": "PA",
            "postal_code": "190832737",
            "country_code": "US",
            "telephone_number": "610-446-2260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROVER",
        "first_name": "DEEPAK",
        "middle_name": "PARKASH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-21",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "OS014807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024939070001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Bell, PA

Sources for this page

Verify at the official NPI Registry.