Individual provider Active NPI

Richard W Grover, MD

  • Cardiovascular Disease Physician
  • Crestview Hills, KY
National Provider Identifier
1831182500
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
20774 Issued in KY
Practice address
380 Centre View Blvd
Crestview Hills, KY 41017
Phone
(859) 341-3015
Fax
(859) 341-3215
NPI assigned
Aug 26, 2005
Last updated
Sep 6, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 20774 KY Primary

Addresses

Primary practice location

380 Centre View Blvd
Crestview Hills, KY 41017

Mailing address

PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 341-3015

Other identifiers 2

IdentifierTypeStateIssuer
64207749MedicaidKY
P00920264OtherKYRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20040329000042 KY Practitioner - Cardiovascular Disease (Cardiology) 4789576364 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, Inc. CurrentSince Feb 24, 2011 Accepting new patients
Summit Medical Group, Inc CurrentSince Feb 24, 2011 Accepting new patients
St Elizabeth Medical Center, Inc Past Accepting new patients
Northern Kentucky Heart PSC Cardiovascular Disease Past Accepting new patients

Locations

401 E 20th St
Covington, KY 41014
Phone (859) 283-6600

380 Centre View Blvd
Crestview Hills, KY 41017
Phone (859) 341-3015

1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000

900 Medical Village Dr
Edgewood, KY 41017
Phone (859) 344-5501

7370 Turfway Rd
Florence, KY 41042
Phone (859) 212-5125

20 N Grand Ave
Ste 3
Fort Thomas, KY 41075
Phone (606) 781-8000

1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700

525 Alexandria Pike
Southgate, KY 41071
Phone (859) 212-0175

300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217

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.

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1831182500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635283",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452635283",
            "telephone_number": "859-341-3015",
            "fax_number": "859-341-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 CENTRE VIEW BLVD",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "41017",
            "telephone_number": "859-341-3015",
            "fax_number": "859-341-3215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVER",
        "first_name": "RICHARD",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "20774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64207749",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00920264",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview Hills, KY

Sources for this page

Verify at the official NPI Registry.