Jerod B Grogg, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50001994 Issued in OH

Practice address

4000 Miamisburg Centerville Rd Ste 420
Miamisburg, OH 45342-7615

Phone

(937) 439-4145

Fax

(937) 439-4371

NPI assigned

Mar 15, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

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: No

Green means eligible to order or refer.

Enrollment records 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Alliance Physicians Inc

  • Family Medicine Physician
  • Kettering, OH
  • NPI 1437125572
  Medicare reassignment NPD
• Kettering Independent Medical Group Inc

  • Orthopaedic Surgery Physician
  • Miamisburg, OH
  • NPI 1629387865
  Medicare reassignment
• Alliance Physicians, Inc.

  • Urgent Care Clinic/Center
  • Hamilton, OH
  • NPI 1366713042
  NPD
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Martin Surgical Associates LLC

  • Surgery Physician
  • Dayton, OH
  • NPI 1104897008
  NPD (past)
• Richard Simman MD LLC

  • Plastic and Reconstructive Surgery Physician
  • Miamisburg, OH
  • NPI 1215136460
  NPD (past)
• Samaritan Emergency Corp

  • Emergency Medicine Physician
  • Dayton, OH
  • NPI 1922084136
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1639203441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7740 WASHINGTON VILLAGE DR STE 110",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454593994",
            "telephone_number": "937-439-4145",
            "fax_number": "937-439-4371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MIAMISBURG CENTERVILLE RD STE 420",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453427615",
            "telephone_number": "937-439-4145",
            "fax_number": "937-439-4371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Miamisburg Centerville Rd Ste 435",
            "address_purpose": "LOCATION",
            "city": "Miamisburg",
            "state": "OH",
            "postal_code": "453427615",
            "country_code": "US",
            "telephone_number": "937-433-5957",
            "fax_number": "937-281-0562",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7740 Washington Village Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454593994",
            "country_code": "US",
            "telephone_number": "937-439-4145",
            "fax_number": "937-439-4371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROGG",
        "first_name": "JEROD",
        "middle_name": "B",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50001994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0085267",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgrogg176256@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "7740 Washington Village Dr Ste 110",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454593994",
            "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": "7740 Washington Village Dr Ste 110",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454593994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Greene Memorial Hospital Services Inc
• Greene Memorial Hospital Services, Inc
• Kathryn Greene, RBT
• Jena Greiner
• Lindsay Grills
• Stephanie Renee Habermehl, BCBA
• Jourdan Hagedorn, FNP-C
• Randi Hagen, PMHNP
• Hagerty & Mazzola D.D.S., Inc
• Shelly Renee Haggard

• Physician Assistant in Miamisburg, OH
• Providers in Miamisburg, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.