Active NPI
Dennis Patrick Grusenmeyer, MD
- Hospitalist Physician
- Keene, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 20152
- Practice address
- 580 Court St
Keene, NH 03431 - Phone
- (603) 354-5400
- NPI assigned
- Feb 21, 2006
- Last updated
- Sep 20, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2017-0031 | NC | |
| Internal Medicine Physician | 207R00000X | MD60983758 | WA | |
| Internal Medicine Physician | 207R00000X | 0101235353 | VA | |
| Internal Medicine Physician | 207R00000X | MD191698 | OR | |
| Hospitalist Physician | 208M00000X | MD60983758 | WA | |
| Hospitalist Physician | 208M00000X | 2017-0031 | NC | |
| Hospitalist Physician | 208M00000X | 20152 | NH | Primary |
Addresses
Primary practice location
580 Court St
Keene, NH 03431
Mailing address
PO Box 810
Hanover, NH 03755-0810
Phone (603) 650-8050
Other practice location 1
2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone (503) 413-8407
Other practice location 2
3241 Western Branch Blvd
Chesapeake, VA 23321-5260
Phone (757) 686-3508
Other practice location 3
888 Swift Blvd
Richland, WA 99352-3514
Phone (509) 942-2648
Other practice location 4
509 Biltmore Ave
Asheville, NC 28801-4601
Phone (828) 213-4411
Other practice location 5
590 Court St
Keene, NH 03431-1719
Phone (603) 354-5400
Other practice location 6
3043 NE 28th St
Lincoln City, OR 97367-4518
Phone (541) 994-3661
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010014727 | Medicaid | VA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dgrusenmeyeragency269023@samhealth.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Cincinnati College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
24800 SE Stark St
Gresham, OR 97030-3378
Phone (503) 413-8988
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD191698 | OR | MD | Internal Medicine Physician |
| 0101235353 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silverton Health | Current | Accepting new patients | |
| Albany General Hospital | Current | Accepting new patients | |
| Samaritan Pacific Health Services, Inc. | Current | Accepting new patients | |
| Silverton Health | Current | Accepting new patients | |
| Legacy Clinics LLC | Current | Accepting new patients | |
| Samaritan Pacific Health Services, Inc | Current | Accepting new patients | |
| Silverton Health | Current | Accepting new patients | |
| Legacy Clinics LLC | Internal Medicine | Current | Accepting new patients |
Locations
24800 SE Stark St
Gresham, OR 97030
Phone (503) 413-8407
930 SW Abbey St
Newport, OR 97365
Phone (541) 265-2244
1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134
1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600
2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200
342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660
Interoperability endpoints
- dgrusenmeyer506394@direct.uvmhealth.org
- dgrusenmeyeragency269023@samhealth.direct-ci.com
- vrhdgruse@yourcarecommunity.org
Organizations & group practices 8
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.
-
dba Legacy Silverton Medical Center
- General Acute Care Hospital
- Silverton, OR
- NPI 1669424354
-
dba Samaritan Albany General Hospital
- General Acute Care Hospital
- Albany, OR
- NPI 1154372340
-
dba Legacy Medical Group Firwood
- Rural Health Clinic/Center
- Sandy, OR
- NPI 1730472192
-
dba Samaritan Pacific Communities Hospital
- Critical Access Hospital
- Newport, OR
- NPI 1801847066
-
dba Samaritan Medical Group Occupational Medicine - Newport
- Physical Medicine & Rehabilitation Physician
- Newport, OR
- NPI 1174888010
-
dba Legacy Medical Group Orthopedics and Sports Medicine Silverton
- Specialist
- Silverton, OR
- NPI 1093828006
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gresham, OR
- NPI 1255354700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695168000000",
"number": "1871568113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 810",
"city": "HANOVER",
"state": "NH",
"postal_code": "037550810",
"telephone_number": "603-650-8050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 COURT ST",
"city": "KEENE",
"state": "NH",
"postal_code": "03431",
"telephone_number": "603-354-5400"
}
],
"practiceLocations": [
{
"address_1": "2801 N Gantenbein Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972271623",
"country_code": "US",
"telephone_number": "503-413-8407",
"fax_number": "503-413-6951",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3241 Western Branch Blvd",
"address_purpose": "LOCATION",
"city": "Chesapeake",
"state": "VA",
"postal_code": "233215260",
"country_code": "US",
"telephone_number": "757-686-3508",
"fax_number": "757-686-0541",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "888 Swift Blvd",
"address_purpose": "LOCATION",
"city": "Richland",
"state": "WA",
"postal_code": "993523514",
"country_code": "US",
"telephone_number": "509-942-2648",
"fax_number": "509-942-2812",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "509 Biltmore Ave",
"address_purpose": "LOCATION",
"city": "Asheville",
"state": "NC",
"postal_code": "288014601",
"country_code": "US",
"telephone_number": "828-213-4411",
"fax_number": "828-213-0275",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "590 Court St",
"address_purpose": "LOCATION",
"city": "Keene",
"state": "NH",
"postal_code": "034311719",
"country_code": "US",
"telephone_number": "603-354-5400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3043 NE 28th St",
"address_purpose": "LOCATION",
"city": "Lincoln City",
"state": "OR",
"postal_code": "973674518",
"country_code": "US",
"telephone_number": "541-994-3661",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRUSENMEYER",
"first_name": "DENNIS",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2023-09-20",
"certification_date": "2023-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2017-0031",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD60983758",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101235353",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD191698",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WA",
"license": "MD60983758",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NC",
"license": "2017-0031",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NH",
"license": "20152",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010014727",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dgrusenmeyeragency269023@samhealth.direct-ci.com",
"affiliation": "N",
"address_1": "3043 NE 28th St",
"city": "Lincoln City",
"state": "OR",
"country_code": "US",
"postal_code": "973674518",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Keene, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.