NPIMap

Individual provider Active NPI

Jeanne Therese Grossman, MD

  • Family Medicine Physician
  • Corydon, IN
National Provider Identifier
1720076078
Registry record updated Aug 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01049002A Issued in IN
Practice address
1263 Hospital Dr NW Ste 250
Corydon, IN 47112-2176
Phone
(812) 738-8136
Fax
(812) 738-3155
NPI assigned
Oct 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01049002A IN Primary

Addresses

Primary practice location

1263 Hospital Dr NW Ste 250
Corydon, IN 47112-2176

Mailing address

1263 Hospital Dr NW Ste 250
Corydon, IN 47112-2176
Phone (812) 738-8136

Other identifiers 3

IdentifierTypeStateIssuer
P00202390OtherINRR MEDICARE
200239440MedicaidIN
000000335249OtherINANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040924000560 IN Practitioner - Family Practice 9436127628 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harrison County Hospital CurrentSince Jul 5, 2010 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Mar 1, 2019 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Mar 1, 2019 Accepting new patients
Harrison County Hospital CurrentSince Jul 5, 2010 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
St. Vincent Health Wellness and Preventive Care Institute, Inc. Past Accepting new patients
Major Hospital Past Accepting new patients
Deaconess Memorial Medical Center Inc Past Accepting new patients
St. Vincent Jennings Hospital, Inc. Past Accepting new patients

Locations

1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830

1263 Hospital Dr NW
Ste 250
Corydon, IN 47112
Phone (812) 738-4915

245 Atwood St
Corydon, IN 47112
Phone (812) 734-0912

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

1601 E Whiskey Run Rd NE
New Salisbury, IN 47161
Phone (812) 247-9977

Organizations & group practices 9

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 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Louisville School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group Inc 2,431 clinicians

Practice addresses (Care Compare)

1373 E State Rd
Madison, IN 47250-7328
Phone (812) 801-0810

Hospital & facility affiliations

  • Baptist Home Health Care of Indiana Home health agency, New Albany, IN, CCN 157152
  • Vna Health at Home Home health agency, Clarksville, IN, CCN 157584
  • Adoration Home Health Home health agency, Jeffersonville, IN, CCN 157221
  • Baptist Health Floyd Hospital, New Albany, IN, CCN 150044
  • Harrison County Hospital Hospital, Corydon, IN, CCN 151331
  • Ascension St Vincent Salem Hospital, Salem, IN, CCN 151314
  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281052800000",
    "number": "1720076078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1263 HOSPITAL DR NW STE 250",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471122176",
            "telephone_number": "812-738-8136",
            "fax_number": "812-738-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1263 HOSPITAL DR NW STE 250",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471122176",
            "telephone_number": "812-738-8136",
            "fax_number": "812-738-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "JEANNE",
        "middle_name": "THERESE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2010-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01049002A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00202390",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200239440",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000335249",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corydon, IN

Sources for this page

Verify at the official NPI Registry.