Organization Active NPI

Grove Medical Associates, PC

  • Endocrinology, Diabetes & Metabolism Physician
  • Auburn, MA
National Provider Identifier
1790716199
Registry record updated Apr 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
GROVE MEDICAL ASSOCIATES, PC
Practice address
250 Hampton St
Auburn, MA 01501-2584
Phone
(508) 753-2060
Fax
(508) 752-4244
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2011

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

Authorized official

Name
Dr. Dennis E Murphy, M.D.NPI 1841266848
Title
Treasurer
Phone
(508) 753-2060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

250 Hampton St
Auburn, MA 01501-2584

Mailing address

250 Hampton St
Auburn, MA 01501-2584
Phone (508) 753-2060

Other identifiers 5

IdentifierTypeStateIssuer
8205OtherMAFALLON
M14761OtherMABLUE SHIELD ID #
710456OtherMATUFTS GROUP #
110071073BMedicaidMA
98282401OtherMANETWORK HEALTH GRP #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060921000337 MA Part B Supplier - Clinic/Group Practice 4486667953 Receives reassigned benefits from 6 practitioners
Practice locations: Auburn, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0950492Grove Medical Associates PC250 Hampton Street, Auburn, MA 01501Certificate of waiverAug 25, 2026

National Provider Directory

National Provider Directory

Locations

250 Hampton St
Ste 1
Auburn, MA 01501
Phone (508) 753-2060

26 Queen St
Fl 6
Worcester, MA 01610
Phone (508) 373-7939

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCHAAA

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302739200000",
    "number": "1790716199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 HAMPTON ST",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015012584",
            "telephone_number": "508-753-2060",
            "fax_number": "508-752-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 HAMPTON ST",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015012584",
            "telephone_number": "508-753-2060",
            "fax_number": "508-752-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVE MEDICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2011-04-14",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "508-753-2060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "8205",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ID #",
            "identifier": "M14761",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS GROUP #",
            "identifier": "710456",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110071073B",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH GRP #",
            "identifier": "98282401",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.