Individual provider Active NPI

Mitzi M Groves, DO

  • Family Medicine Physician
  • Stanley, KS
National Provider Identifier
1770577629
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
05-31268 Issued in KS
Practice address
15101 Glenwood Ave
Stanley, KS 66223-3154
Phone
(913) 681-8866
Fax
(913) 338-1311
NPI assigned
Sep 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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 05-31268 KS Primary

Addresses

Primary practice location

15101 Glenwood Ave
Stanley, KS 66223-3154

Mailing address

PO Box 741331
Atlanta, GA 30374-1331
Phone (913) 469-0503

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mitzi.groves@cpfc.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20080428000653 KS Practitioner - Family Practice 8123056298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Overland Park Surgical Specialties LLCGroup PAC ID 9234318502, 86 clinicians

Practice addresses (Care Compare)

15101 Glenwood Ave
Stanley, KS 66223-3154
Phone (913) 681-8866

Hospital & facility affiliations

  • Adventhealth Home Health Home health agency, Shawnee Mission, KS, CCN 178058
  • Overland Park Reg Med Ctr Hospital, Overland Park, KS, CCN 170176
  • Menorah Medical Center Hospital, Overland Park, KS, CCN 170182
  • University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040
  • Saint Luke'S South Hospital Hospital, Overland Park, KS, CCN 170185

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 Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
05-31268KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Overland Park Surgical Specialties LLC Family Medicine CurrentSince Jan 1, 2013 Accepting new patients
Hope Family Care Center,LLC Family Medicine PastSince Aug 1, 2009 Accepting new patients
College Park Family Care Center, P.a. Past Accepting new patients
Summit Medical Associates LLC Family Medicine Past Accepting new patients

Locations

17050 W 96th St
Lenexa, KS 66219
Phone (913) 359-1771

801 N Mur Len Rd
Ste 211
Olathe, KS 66062
Phone (913) 451-2253

1803 S Ridgeview Rd
Olathe, KS 66062
Phone (913) 735-4726

11164 S Noble Dr
Olathe, KS 66061
Phone (913) 469-6447

10500 Quivira Rd
Ste 130
Overland Park, KS 66215
Phone (913) 956-4200

10600 Mastin St
Ste C
Overland Park, KS 66212
Phone (913) 469-6447

11755 W 112th St
Ste 101
Overland Park, KS 66210
Phone (913) 469-0503

11725 W 112th St
Overland Park, KS 66210
Phone (913) 469-5452

10600 Mastin St
Ste A
Overland Park, KS 66212
Phone (913) 274-2600

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

15101 Glenwood Ave
Stanley, KS 66223
Phone (913) 681-4934

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: mitzi.groves@hca2.eclinicaldirectplus.com

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 6

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": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1770577629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741331",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303741331",
            "telephone_number": "913-469-0503",
            "fax_number": "913-469-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15101 GLENWOOD AVE",
            "city": "STANLEY",
            "state": "KS",
            "postal_code": "662233154",
            "telephone_number": "913-681-8866",
            "fax_number": "913-338-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVES",
        "first_name": "MITZI",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-07",
        "last_updated": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-31268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mitzi.groves@cpfc.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "15101 Glenwood Ave",
            "city": "Stanley",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662233154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stanley, KS

Sources for this page

Verify at the official NPI Registry.