Individual provider Active NPI

Atul Grover, MD

  • Addiction Medicine (Family Medicine) Physician
  • Newport Beach, CA
National Provider Identifier
1639166523
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
A55575 Issued in CA
Practice address
One Hoag Drive
Department of Anesthesiology
Newport Beach, CA 92663-4162
Phone
(949) 764-6954
Fax
(949) 764-5674
NPI assigned
Oct 5, 2005
Last updated
Dec 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A55575 CA
Addiction Medicine (Family Medicine) Physician 207QA0401X A55575 CA Primary

Addresses

Primary practice location

One Hoag Drive
Department of Anesthesiology
Newport Beach, CA 92663-4162

Mailing address

One Hoag Drive
Department of Anesthesiology
Newport Beach, CA 92663-4162
Phone (949) 764-6954

Other identifiers 1

IdentifierTypeStateIssuer
00A555750MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20051027000242 CA Practitioner - Addiction MedicinePractitioner - Anesthesiology 9830116128 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Addiction MedicineAlso: Anesthesiology
Education
Northeastern Ohio University College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Newport Harbor Anesthesia Consultants Medical Group IncGroup PAC ID 1759284771, 86 clinicians
Bright Heart Health Medical Group a Medical CorporationGroup PAC ID 2264775790, 11 clinicians

Practice addresses (Care Compare)

1 Hoag Dr
Newport Beach, CA 92663-4162
Phone (949) 645-8600

15825 Laguna Canyon Rd
Suite 200
Irvine, CA 92618-2127
Phone (949) 341-3499

2960 Camino Diablo
Suite 105
Walnut Creek, CA 94597-3945
Phone (800) 892-2695

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32479AZMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Heart Health Medical Group a Medical Corporation CurrentSince Oct 1, 2023 Accepting new patients
Newport Harbor Anesthesia Consultants Medical Group Inc Anesthesiology CurrentSince Jul 1, 2010 Accepting new patients
Atul Grover M D Inc Anesthesiology CurrentSince Oct 26, 2005 Accepting new patients
Taproot Healing, Inc Current Accepting new patients
Sun Health MRI Center Past Accepting new patients
Gary Chinghuei Kao MD Inc Anesthesiology Past Accepting new patients

Locations

17815 Newhope St
Ste R
Fountain Vly, CA 92708
Phone (714) 432-8881

17772 Beach Blvd
Huntington Beach, CA 92647
Phone (714) 842-1473

16200 Sand Canyon Ave
Irvine, CA 92618
Phone (949) 753-2000

15825 Laguna Canyon Rd
Ste 200
Irvine, CA 92618
Phone (310) 659-6333

1720 Termino Ave
Long Beach, CA 90804
Phone (562) 494-0631

1525 Superior Ave
Ste 200
Newport Beach, CA 92663
Phone (949) 229-3369

1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624

2960 Camino Diablo
Ste 105
Walnut Creek, CA 94597
Phone (415) 990-3151

Organizations & group practices 6

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 4

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": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1639166523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE HOAG DRIVE",
            "address_2": "DEPARTMENT OF ANESTHESIOLOGY",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634162",
            "telephone_number": "949-764-6954",
            "fax_number": "949-764-5674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE HOAG DRIVE",
            "address_2": "DEPARTMENT OF ANESTHESIOLOGY",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634162",
            "telephone_number": "949-764-6954",
            "fax_number": "949-764-5674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVER",
        "first_name": "ATUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A55575",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CA",
            "license": "A55575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A555750",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.