Individual provider Active NPI

Kirk Ashley Grogan, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • San Francisco, CA
National Provider Identifier
1790856524
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4449 Issued in CA
Practice address
45 Castro St
315
San Francisco, CA 94114-1010
Phone
(415) 565-0200
Fax
(415) 565-0296
NPI assigned
Nov 13, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E4449 CA Primary

Addresses

Primary practice location

45 Castro St
315
San Francisco, CA 94114-1010

Mailing address

45 Castro St
315
San Francisco, CA 94114-1010
Phone (415) 565-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120328000896 CA Practitioner - Podiatry 1153581129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Bob S Salk DPM PC ApcGroup PAC ID 3274703749, 5 clinicians

Practice addresses (Care Compare)

45 Castro St
Suite 315
San Francisco, CA 94114-1019
Phone (415) 565-0200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions12
Removal of nail tissue1481
Removal or shaving of skin growth1285

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Bob S Salk DPM PC Apc Foot & Ankle Surgery CurrentSince Jan 1, 2012 Accepting new patients
Dr Bob S Salk DPM PC Apc Foot & Ankle Surgery CurrentSince Jan 1, 2012 Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients

Locations

2100 Webster St
Ste 209
San Francisco, CA 94115
Phone (415) 431-3668

3838 California St
Rm 108
San Francisco, CA 94118
Phone (415) 221-7273

45 Castro St
Ste 315
San Francisco, CA 94114
Phone (415) 535-0200

Interoperability endpoints

  • Direct secure messaging: kgrogan177432@hisp.ehr.sutterhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1790856524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 CASTRO ST",
            "address_2": "315",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141010",
            "telephone_number": "415-565-0200",
            "fax_number": "415-565-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 CASTRO ST",
            "address_2": "315",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141010",
            "telephone_number": "415-565-0200",
            "fax_number": "415-565-0296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROGAN",
        "first_name": "KIRK",
        "middle_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.