Active NPI
Edwin T McGroarty, M.D.
- Family Medicine Physician
- Avalon, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 145912
- Practice address
- 100 Falls Canyon Road
Avalon, CA 90704-1563 - Phone
- (310) 510-0096
- Fax
- (310) 510-2938
- NPI assigned
- Feb 2, 2006
- Last updated
- Feb 28, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 145912 | CA | Primary |
Addresses
Primary practice location
100 Falls Canyon Road
Avalon, CA 90704-1563
Mailing address
P.O. Box 1563
Avalon, CA 90704-1563
Phone (310) 510-0096
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, ND
- 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
- Family Practice
- Education
- University of Cincinnati College of Medicine, 1997
- Medicare assignment
- May accept Medicare assignment
- Group practices
- McKenzie County Healthcare Systems Inc
Practice addresses (Care Compare)
100 Falls Canyon Rd
Avalon, CA 90704-2990
Phone (310) 510-0700
1542 16TH St W
Williston, ND 58801-3888
Phone (701) 577-6337
3 4TH St E
Williston, ND 58801-5350
Phone (701) 577-6337
509 16TH St NE
Watford City, ND 58854-7628
Phone (701) 444-7814
709 4TH Ave NE
Watford City, ND 58854-7628
Phone (701) 842-3000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 145912 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seneca Healthcare District | Current | Accepting new patients | |
| Seneca Healthcare District | Current | Accepting new patients | |
| Avalon Medical Development Corporation | Current | Accepting new patients | |
| McKenzie County Healthcare Systems Inc | Current | Accepting new patients | |
| Seneca Healthcare District | Current | Accepting new patients | |
| McKenzie County Healthcare Systems Inc | Family Medicine | Current | Accepting new patients |
| McKenzie County Healthcare Systems Inc | Past | Accepting new patients | |
| Artesia General Hospital | Past | Accepting new patients | |
| Az Corridor Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| McKenzie County Healthcare Systems Inc | Past | Accepting new patients | |
| McKenzie County Healthcare Systems Inc | Past | Accepting new patients | |
| Casa Grande Emergency Physicians PLLC | Emergency Medicine | Past | Accepting new patients |
Locations
100 Falls Canyon Rd
Avalon, CA 90704
Phone (310) 510-0700
1002 18th Ave SE
Ste C
Minot, ND 58701
Phone (701) 857-6010
525 N Main St
Watford City, ND 58854
Phone (701) 842-3771
709 4th Ave NE
Watford City, ND 58854
Phone (701) 444-2331
1542 16th St W
Ste 300
Williston, ND 58801
Phone (701) 572-2470
Interoperability endpoints
- edwin.mcgroarty.1@14021.direct.athenahealth.com
- edwin.mcgroarty@khindirect.org
Organizations & group practices 12
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 Catalina Island Health
- Critical Access Hospital
- Avalon, CA
- NPI 1346250347
-
- Medicare Defined Swing Bed Hospital Unit
- Chester, CA
- NPI 1326234022
-
- Urgent Care Clinic/Center
- Williston, ND
- NPI 1396516506
-
- Critical Access Hospital
- Watford City, ND
- NPI 1518988948
Family Medicine
-
dba Lake Almanor Clinic
- Rural Health Clinic/Center
- Chester, CA
- NPI 1104920438
-
- Critical Access Hospital
- Chester, CA
- NPI 1396848677
-
dba Artesia Healthcare Professionals
- Surgery Physician
- Artesia, NM
- NPI 1114076825
-
- Emergency Medicine Physician
- Casa Grande, AZ
- NPI 1316152333
-
- Emergency Medicine Physician
- Casa Grande, AZ
- NPI 1871589051
-
dba MCHS-Clinic
- Clinic/Center
- Watford City, ND
- NPI 1063420495
-
dba McKenzie County Hospital
- Medicare Defined Swing Bed Hospital Unit
- Watford City, ND
- NPI 1427079854
-
dba McKenzie Health
- Rural Health Clinic/Center
- Watford City, ND
- NPI 1457374217
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CHI Health at Home
- Home Health Agency
- Williston, ND
- NPI 1083928048
-
- Critical Access Hospital
- Watford City, ND
- NPI 1518988948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677542400000",
"number": "1891767299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1563",
"city": "AVALON",
"state": "CA",
"postal_code": "907041563",
"telephone_number": "310-510-0096",
"fax_number": "310-510-2938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 FALLS CANYON ROAD",
"city": "AVALON",
"state": "CA",
"postal_code": "907041563",
"telephone_number": "310-510-0096",
"fax_number": "310-510-2938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGROARTY",
"first_name": "EDWIN",
"middle_name": "T",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2023-02-28",
"certification_date": "2023-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "145912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avalon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.