Active NPI
Elissa Gropen, M.D.
- Specialist
- Riverside, CA
National Provider Identifier
1700949112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G69545
- Practice address
- 4954 Arlington Ave
Ste a
Riverside, CA 92504-2746 - Phone
- (951) 684-8397
- Fax
- (951) 684-2252
- NPI assigned
- Dec 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G69545 | CA | Primary |
Addresses
Primary practice location
4954 Arlington Ave
Ste a
Riverside, CA 92504-2746
Mailing address
4954 Arlington Ave
Suite a
Riverside, CA 92504-2746
Phone (951) 684-8397
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120210000060 | CA | Practitioner - Dermatology | 1456378199 | Practice locations: Riverside, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Southern California Keck School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3576 Arlington Ave
Suite 102
Riverside, CA 92506-3907
Phone (951) 684-8397
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 193 |
| Removal of skin lesions | 1078 |
| Removal or shaving of skin growth | 19 |
| Skin biopsy | 22 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G69545 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353974400000",
"number": "1700949112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4954 ARLINGTON AVE",
"address_2": "SUITE A",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925042746",
"telephone_number": "951-684-8397",
"fax_number": "951-684-2252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4954 ARLINGTON AVE",
"address_2": "STE A",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925042746",
"telephone_number": "951-684-8397",
"fax_number": "951-684-2252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROPEN",
"first_name": "ELISSA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2012-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G69545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.