David Groesch, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

147-000273 Issued in IL

Practice address

4000 Westgate Dr
Springfield, IL 62711-7066

Phone

(217) 726-6101

Fax

(217) 546-4659

NPI assigned

Mar 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Illinois Hearing and Speech LTD.Group PAC ID 5698818037, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Central Illinois Hearing & Speech LTD

  dba Central Illinois Hearing Ltd

  • Audiologist
  • Springfield, IL
  • NPI 1679708929
  Medicare reassignment Care Compare group NPD Authorized official
• Central Illinois Audiology LTD

  dba Central Illinois Hearing

  • Audiologist
  • Springfield, IL
  • NPI 1356294284
  Medicare reassignment NPD

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1730149196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 WESTGATE DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627117066",
            "telephone_number": "217-726-6101",
            "fax_number": "217-546-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 WESTGATE DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627117066",
            "telephone_number": "217-726-6101",
            "fax_number": "217-546-4659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROESCH",
        "first_name": "DAVID",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147-000273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INS. PROV. NO.",
            "identifier": "7313366",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8422416",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan E. Griggs, PA-C
• Jordan P Grimm
• Trenton Grimm, MD
• Daniel Groepper, CGC
• Charles William Groesch, DDS
• Gina Groff, LCSW
• Joel Groman, PA
• Kendall Gross
• Cassi Brielle Grotepas, M.D.
• Cody Grotts, MD

• Audiologist in Springfield, IL
• Providers in Springfield, IL by specialty
• Audiologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.