Individual provider Active NPI

Diane M Gronski, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Glendale, AZ
National Provider Identifier
1689624629
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
22538 Issued in AZ
Practice address
19875 N 51St Ave
Glendale, AZ 85308-5114
Phone
(623) 581-8998
Fax
(623) 581-6461
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 22538 AZ Primary

Addresses

Primary practice location

19875 N 51St Ave
Glendale, AZ 85308-5114

Mailing address

19875 N 51St Ave
Glendale, AZ 85308-5114
Phone (623) 581-8998

Other identifiers 1

IdentifierTypeStateIssuer
167701MedicaidAZ

Other names 1

  • Diane M Gronski-Rupp Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20060310000241 AZ Practitioner - Endocrinology 9436164407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Medical College of Wisconsin, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sonoran Medical CentersGroup PAC ID 0648260364, 12 clinicians

Practice addresses (Care Compare)

19875 N 51St Ave
Glendale, AZ 85308-5114
Phone (623) 581-8998

Hospital & facility affiliations

  • Banner Thunderbird Medical Center Hospital, Glendale, AZ, CCN 030089
  • Wickenburg Community Hospital Hospital, Wickenburg, AZ, CCN 031300
  • Abrazo Arrowhead Hospital Hospital, Glendale, AZ, CCN 030094

Merit-based Incentive Payment System (MIPS)

Final score
20.17 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
67.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22538AZMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoran Medical Centers Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
Banner Arizona Medical Clinic LTD Current Accepting new patients
Lankford Holdings Monogram, Inc PastSince Oct 1, 2018 Accepting new patients

Locations

19875 N 51st Ave
Glendale, AZ 85308
Phone (623) 581-8998

13760 N 93rd Ave
Ste 107
Peoria, AZ 85381
Phone (623) 876-3952

13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800

13640 N Plaza del Rio Blvd
Ste 230
Peoria, AZ 85381
Phone (623) 876-3810

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

Interoperability endpoints

  • Direct secure messaging: diane.gronski.p1@direct.sonoranmed.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1689624629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19875 N 51ST AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085114",
            "telephone_number": "623-581-8998",
            "fax_number": "623-581-5035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19875 N 51ST AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085114",
            "telephone_number": "623-581-8998",
            "fax_number": "623-581-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRONSKI",
        "first_name": "DIANE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "AZ",
            "license": "22538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167701",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "GRONSKI-RUPP",
            "middle_name": "M",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.