NPIMap

Individual provider Active NPI

Martin Herman Grotheer, M.D.

  • Family Medicine Physician
  • Miami, OK
National Provider Identifier
1750352597
Registry record updated Nov 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10117 Issued in OK
Practice address
10 S Treaty Rd
Miami, OK 74354-5330
Phone
(918) 542-6644
Fax
(918) 542-6167
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2012

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 10117 OK Primary

Addresses

Primary practice location

10 S Treaty Rd
Miami, OK 74354-5330

Mailing address

10 S Treaty Rd
Miami, OK 74354-5330
Phone (918) 542-6644

Other identifiers 1

IdentifierTypeStateIssuer
100258760AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20050926001024 OK Practitioner - Family Practice 4486688785 Practice locations: Miami, OK

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cherry Health Center, LLCGroup PAC ID 1355317033, 97 clinicians

Practice addresses (Care Compare)

120 S Treaty Rd
Miami, OK 74354-5326
Phone (918) 542-6644

607 W Battlefield St
Springfield, MO 65807-4123
Phone (417) 869-2000

Hospital & facility affiliations

  • Carter Healthcare of Oklahoma, LLC Home health agency, Vinita, OK, CCN 377692
  • Integris Home Care Northeast Home health agency, Miami, OK, CCN 377050
  • Carter Healthcare Hospice of North Oklahoma, LLC Hospice, Pryor, OK, CCN 371643
  • Integris Miami Hospital Hospital, Miami, OK, CCN 370004
  • Saint Francis Hospital Vinita, Inc Hospital, Vinita, OK, CCN 370237
  • Mercy Hospital Joplin Hospital, Joplin, MO, CCN 260001
  • Freeman Health System - Freeman West Hospital, Joplin, MO, CCN 260137
  • Miami Nursing Center, LLC Nursing home, Miami, OK, CCN 375388
  • Eastwood Manor Nursing home, Commerce, OK, CCN 375529
  • Windridge Nursing and Rehabilitation Center Nursing home, Miami, OK, CCN 375335

Merit-based Incentive Payment System (MIPS)

Final score
24.13 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
80.44

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10117OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastwood Manor, LLC Past Accepting new patients
Integris Baptist Regional Health Center Past Accepting new patients
Miami Nursing Center, LLC Past Accepting new patients
Martin H Grotheer MD Family Medicine PastSince Jul 15, 2012 Accepting new patients
Integris Miami Hospital Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: grotheerm@yourcarecommunity.org

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
Carter Healthcare Hospice of North Oklahoma, LLCPryor, OK, CCN 371643 Hospice W-2 Managing Employee (100%) Jan 1, 2023

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 6

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352419200000",
    "number": "1750352597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 S TREATY RD",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743545330",
            "telephone_number": "918-542-6644",
            "fax_number": "918-542-6167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 S TREATY RD",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743545330",
            "telephone_number": "918-542-6644",
            "fax_number": "918-542-6167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROTHEER",
        "first_name": "MARTIN",
        "middle_name": "HERMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2012-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "10117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100258760A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, OK

Sources for this page

Verify at the official NPI Registry.