Individual provider Active NPI

Gregory Louis Groglio, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Slidell, LA
National Provider Identifier
1699791772
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
08643R Issued in LA
Practice address
1051 Gause Blvd
Suite 370
Slidell, LA 70458-2951
Phone
(985) 726-0026
Fax
(985) 726-0024
NPI assigned
Jul 14, 2006
Last updated
Mar 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 08643R LA Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 17361 MS

Addresses

Primary practice location

1051 Gause Blvd
Suite 370
Slidell, LA 70458-2951

Mailing address

857 Brownswitch Rd
Suite 313
Slidell, LA 70458-5335
Phone (985) 726-0026

Other practice location 1

Merit Health Medical Group-Cardiology
5003 Hardy Street, Suite 200
Hattiesburg, MS 39402-1331
Phone (601) 261-5700

Other identifiers 2

IdentifierTypeStateIssuer
17361OtherMSMEDICAL LICENSE
1972614MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20210226001940 MS Practitioner - Thoracic Surgery 3375549397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wesley Physician Services LLCGroup PAC ID 2466559851, 42 clinicians

Practice addresses (Care Compare)

5001 Hardy St
Hattiesburg, MS 39402-1308
Phone (601) 268-8155

5003 Hardy St
Hattiesburg, MS 39402-1331

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as apm
Quality
73.89
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)16
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
08643RLAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
17361MSMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wesley Physician Services LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Mar 1, 2021 Accepting new patients
Wesley Health System LLC Past Accepting new patients

Locations

5001 Hardy St
Hattiesburg, MS 39402
Phone (601) 268-8000

5003 Hardy St
Ste 200
Hattiesburg, MS 39402
Phone (601) 261-5700

Interoperability endpoints

  • Direct secure messaging: gregory.groglio.1@1930.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/1930/brand/2/csg/102/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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1699791772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 BROWNSWITCH RD",
            "address_2": "SUITE 313",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704585335",
            "telephone_number": "985-726-0026",
            "fax_number": "985-726-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 GAUSE BLVD",
            "address_2": "SUITE 370",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582951",
            "telephone_number": "985-726-0026",
            "fax_number": "985-726-0024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Merit Health Medical Group-Cardiology",
            "address_2": "5003 Hardy Street, Suite 200",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394021331",
            "country_code": "US",
            "telephone_number": "601-261-5700",
            "fax_number": "601-268-8502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROGLIO",
        "first_name": "GREGORY",
        "middle_name": "LOUIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2021-03-01",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "LA",
            "license": "08643R",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MS",
            "license": "17361",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "17361",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972614",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.