Individual provider Active NPI

Robert Hamilton Groves Jr., M.D.

  • Pulmonary Disease Physician
  • Mesa, AZ
National Provider Identifier
1598873036
Registry record updated Jan 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
34948 Issued in AZ
Practice address
2145 W Southern Ave
Mesa, AZ 85202-4715
Phone
(480) 512-5806
Fax
(480) 512-5801
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 34948 AZ Primary

Addresses

Primary practice location

2145 W Southern Ave
Mesa, AZ 85202-4715

Mailing address

2145 W Southern Ave
Mesa, AZ 85202-4715
Phone (480) 512-5806

Other identifiers 1

IdentifierTypeStateIssuer
01314301MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34948AZMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Greeley Specialists Past Accepting new patients
Critical Care & Pulmonary Consultants, PC Pulmonary Disease PastSince Jul 1, 2002 Accepting new patients
Philippe G Lopez MD PC Pulmonary Disease PastSince Jun 16, 2024 Accepting new patients
Big Thompson Medical Group Inc Family Medicine Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264723200000",
    "number": "1598873036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 W SOUTHERN AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024715",
            "telephone_number": "480-512-5806",
            "fax_number": "480-512-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 W SOUTHERN AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024715",
            "telephone_number": "480-512-5806",
            "fax_number": "480-512-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVES",
        "first_name": "ROBERT",
        "middle_name": "HAMILTON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2010-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "34948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01314301",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.