Individual provider Active NPI

David Jon Grossklaus, M.D.

  • Urology Physician
  • Mesa, AZ
National Provider Identifier
1750355392
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
25961 Issued in AZ
Practice address
6007 E Baseline Rd
Suite 105
Mesa, AZ 85206-4801
Phone
(480) 897-2727
Fax
(480) 892-3035
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 25961 AZ Primary

Addresses

Primary practice location

6007 E Baseline Rd
Suite 105
Mesa, AZ 85206-4801

Mailing address

6007 E Baseline Rd
Suite 105
Mesa, AZ 85206-4815
Phone (480) 897-2727

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041124000733 AZ Practitioner - Urology 4082679485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Arizona College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David J. Grossklaus, M.D.,P.C.Group PAC ID 8022053990, 2 clinicians

Practice addresses (Care Compare)

6007 E Baseline Rd
Suite 105
Mesa, AZ 85206-4801
Phone (480) 897-2727

Hospital & facility affiliations

  • Banner Baywood Medical Center Hospital, Mesa, AZ, CCN 030088
  • Mercy Gilbert Medical Center Hospital, Gilbert, AZ, CCN 030119
  • Cobre Valley Regional Medical Center Hospital, Globe, AZ, CCN 031314

Merit-based Incentive Payment System (MIPS)

Final score
91.1 of 100Reported as group
Quality
92.83
Improvement activities
40
Cost
79.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection44
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
David J. Grossklaus, M.D.,P.C. Urology CurrentSince Jun 1, 2005 Accepting new patients

Locations

875 N Greenfield Rd
Ste 105
Gilbert, AZ 85234
Phone (480) 897-2727

6007 E Baseline Rd
Ste 105
Mesa, AZ 85206
Phone (480) 897-2727

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

Organizations & group practices 1

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 5

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

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": "1375920000000",
    "number": "1750355392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6007 E BASELINE RD",
            "address_2": "SUITE 105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064815",
            "telephone_number": "480-897-2727",
            "fax_number": "480-892-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6007 E BASELINE RD",
            "address_2": "SUITE 105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064801",
            "telephone_number": "480-897-2727",
            "fax_number": "480-892-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSKLAUS",
        "first_name": "DAVID",
        "middle_name": "JON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2013-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AZ",
            "license": "25961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.