Individual provider Active NPI

David Groen, MD

  • Family Medicine Physician
  • Columbus, OH
National Provider Identifier
1841247061
Registry record updated Sep 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-07-0506-G Issued in OH
Practice address
1980 Bethel Rd
Suite 100
Columbus, OH 43220-1816
Phone
(614) 451-3114
Fax
(614) 545-4793
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2011

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 35-07-0506-G OH Primary

Addresses

Primary practice location

1980 Bethel Rd
Suite 100
Columbus, OH 43220-1816

Mailing address

1980 Bethel Rd
Suite 100
Columbus, OH 43220-1816
Phone (614) 451-3114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20051005001343 OH Practitioner - Family Practice 6305861626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Carmel Healthproviders IncGroup PAC ID 9537073804, 140 clinicians

Practice addresses (Care Compare)

1045 Beecher Crossing N
Suite C
Gahanna, OH 43230-4573

4101 Emerald Pkwy
Suite 200
Dublin, OH 43016-3323
Phone (614) 627-2710

55 N High St
New Albany, OH 43054-7099
Phone (614) 627-1878

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Health Providers Inc Family Medicine CurrentSince Sep 10, 2018 Accepting new patients
Mount Carmel Healthproviders Inc Family Medicine CurrentSince Sep 10, 2018 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400

55 N High St
New Albany, OH 43054
Phone (614) 627-1878

10330 Sawmill Pkwy
Ste 600
Powell, OH 43065
Phone (614) 627-1850

6895 E Main St
Reynoldsburg, OH 43068
Phone (614) 234-9999

Interoperability endpoints

  • Direct secure messaging: dgroen1147909@direct.trinity-health.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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317340800000",
    "number": "1841247061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 BETHEL RD",
            "address_2": "SUITE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432201816",
            "telephone_number": "614-451-3114",
            "fax_number": "614-545-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 BETHEL RD",
            "address_2": "SUITE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432201816",
            "telephone_number": "614-451-3114",
            "fax_number": "614-545-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROEN",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2011-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-07-0506-G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.