Andrew L Degruccio, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

29694 Issued in KY

Practice address

9370 Cedar Center Way
Louisville, KY 40291

Phone

(502) 762-9528

Fax

(502) 762-9529

NPI assigned

Jul 7, 2006

Sex

Male

Sole proprietor

Yes

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 KY

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: adegruccio@oss.gwaydirect.com

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.

• Orthopedic & Sports Specialists of Louisville, PSC

  • Orthopaedic Surgery Physician
  • Louisville, KY
  • NPI 1699954008
  NPD Authorized official
• Orthopaedic Associates

  • Orthopaedic Surgery Physician
  • Louisville, KY
  • NPI 1679626147
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195776000000",
    "number": "1740213610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9370 CEDAR CENTER WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40291",
            "telephone_number": "502-762-9528",
            "fax_number": "502-762-9529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9370 CEDAR CENTER WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40291",
            "telephone_number": "502-762-9528",
            "fax_number": "502-762-9529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGRUCCIO",
        "first_name": "ANDREW",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "29694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6798413002",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000044579",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Degonda
• Donna Degraff
• Amy Renee Degraffenreid, MS OTR/L
• Tiffany Mayette Degree, APRN, PMHNP-BC
• Theresa Degregory, RPH
• Jenny Maria Deibel, MS,OTR/L
• Karl Ray Deibel, PHARMD, BCPS
• Carla Marie Deich, PT
• Jean F Deignan
• Nancy E Deines, R.PH.

• Orthopaedic Surgery Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Orthopaedic Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.