Individual provider Active NPI

Robert John Groya, M.D.

  • Orthopaedic Surgery Physician
  • La Grange Park, IL
National Provider Identifier
1619038411
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
036045842 Issued in IL
Practice address
348 Sherwood CT.
La Grange Park, IL 60526-1967
Phone
(708) 482-8686
Fax
(708) 482-8694
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 036045842 IL Primary

Addresses

Primary practice location

348 Sherwood CT.
La Grange Park, IL 60526-1967

Mailing address

348 Sherwood CT.
La Grange Park, IL 60526-1967
Phone (708) 482-8686

Other identifiers 1

IdentifierTypeStateIssuer
362920223OtherUNITED HEALTHCARE

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
036045842ILMDOrthopaedic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269302400000",
    "number": "1619038411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 SHERWOOD CT.",
            "city": "LA GRANGE PARK",
            "state": "IL",
            "postal_code": "605261967",
            "telephone_number": "708-482-8686",
            "fax_number": "708-482-8694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 SHERWOOD CT.",
            "city": "LA GRANGE PARK",
            "state": "IL",
            "postal_code": "605261967",
            "telephone_number": "708-482-8686",
            "fax_number": "708-482-8694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROYA",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2010-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036045842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "362920223",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.