NPIMap

Individual provider Active NPI

Daniel Kenneth Grob, M.D.

  • Family Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1740254309
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD062997L Issued in PA
Practice address
1140 Perry Hwy
Pittsburgh, PA 15237-2160
Phone
(412) 364-4402
Fax
(412) 364-3850
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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 MD062997L PA Primary

Addresses

Primary practice location

1140 Perry Hwy
Pittsburgh, PA 15237-2160

Mailing address

8150 Perry Hwy Ste 201
Pittsburgh, PA 15237-5200
Phone (412) 369-9550

Other practice location 1

12311 Perry Hwy
Wexford, PA 15090-8344
Phone (724) 935-5330

Other identifiers 2

IdentifierTypeStateIssuer
001729440-0005MedicaidPA
001729440-0004MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050615000745 PA Practitioner - Family Practice 8022052521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Pittsburgh School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesis Medical Associates, Inc.Group PAC ID 7113814104, 99 clinicians

Practice addresses (Care Compare)

4001 Stonewood Dr
Suite 200
Wexford, PA 15090-8398
Phone (724) 935-5330

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Associates, Inc. Family Medicine CurrentSince Jul 10, 1997 Accepting new patients
Genesis Medical Associates, Inc. CurrentSince Jul 10, 1997 Accepting new patients
Upmc Passavant Past Accepting new patients
Genesis Medical Associates, Inc Family Medicine Past Accepting new patients

Locations

8150 Perry Hwy
Ste 201
Pittsburgh, PA 15237
Phone (412) 369-9550

8150 Perry Hwy
Ste 300
Pittsburgh, PA 15237
Phone (412) 369-9550

3601 McKnight East Dr
Pittsburgh, PA 15237
Phone (412) 369-9943

1140 Perry Hwy
Pittsburgh, PA 15237
Phone (412) 364-4402

12311 Perry Hwy
Wexford, PA 15090
Phone (878) 332-4143

4001 Stonewood Dr
Ste 200
Wexford, PA 15090
Phone (412) 364-4402

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Concordia at Rebecca ResidenceAllison Park, PA, CCN 396067 Skilled nursing facility Adp of the SNF Oct 22, 1999

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1740254309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 PERRY HWY STE 201",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375200",
            "telephone_number": "412-369-9550",
            "fax_number": "412-369-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 PERRY HWY",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152372160",
            "telephone_number": "412-364-4402",
            "fax_number": "412-364-3850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12311 Perry Hwy",
            "address_purpose": "LOCATION",
            "city": "Wexford",
            "state": "PA",
            "postal_code": "150908344",
            "country_code": "US",
            "telephone_number": "724-935-5330",
            "fax_number": "724-935-5098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROB",
        "first_name": "DANIEL",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD062997L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001729440-0005",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001729440-0004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.