Individual provider Active NPI

Caleb W Grote, MD

  • Pediatric Orthopaedic Surgery Physician
  • Saint Louis, MO
National Provider Identifier
1689054553
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
2020013859 Issued in MO
Practice address
1 Childrens PL
Ste 1B
Saint Louis, MO 63110-1002
Phone
(314) 454-6062
Fax
(314) 454-5054
NPI assigned
Jun 4, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Orthopaedic Surgery Physician 207XP3100X 2020013859 MO Primary
Orthopaedic Surgery Physician 207X00000X 2020013859 MO

Addresses

Primary practice location

1 Childrens PL
Ste 1B
Saint Louis, MO 63110-1002

Mailing address

660 S Euclid Ave
CB 8233
Saint Louis, MO 63110-1010
Phone (314) 514-3500

Other identifiers 2

IdentifierTypeStateIssuer
200048943MedicaidMO
ENROLLEDMedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200804003119 MO Practitioner - Orthopedic SurgeryPractitioner - Other (Physician)Practitioner - Pediatric Medicine 9830495514 Reassigns benefits to 1 organization
I20211221002780 KS Practitioner - Orthopedic Surgery 9830495514 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020013859MOMDPediatric Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc CurrentSince Nov 30, 2021 Accepting new patients
Washington University CurrentSince Aug 1, 2020 Accepting new patients
Kansas University Physicians Inc Orthopaedic Surgery CurrentSince Nov 30, 2021 Accepting new patients
Kansas University Physicians Inc Current Accepting new patients
Washington University CurrentSince Aug 1, 2020 Accepting new patients
The Children'S Mercy Hospital Past Accepting new patients
The Children'S Mercy Hospital Past Accepting new patients

Locations

3901 Rainbow Blvd
#3017
Kansas City, KS 66160
Phone (913) 588-0575

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

11300 Corporate Ave
Ste 342
Lenexa, KS 66219
Phone (913) 574-0425

1 Childrens Pl
Ste 1B
Saint Louis, MO 63110
Phone (314) 454-6062

4240 Duncan Ave
Ste 301
Saint Louis, MO 63110

4921 Parkview Pl
Ste 6A6B12A
Saint Louis, MO 63110
Phone (314) 747-2551

660 S Euclid Ave
#8233
Saint Louis, MO 63110
Phone (314) 747-2555

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1689054553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S EUCLID AVE",
            "address_2": "CB 8233",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101010",
            "telephone_number": "314-514-3500",
            "fax_number": "314-747-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHILDRENS PL",
            "address_2": "STE 1B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101002",
            "telephone_number": "314-454-6062",
            "fax_number": "314-454-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROTE",
        "first_name": "CALEB",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-04",
        "last_updated": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "MO",
            "license": "2020013859",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "2020013859",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200048943",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.