Individual provider Active NPI

Edwin T McGroarty, M.D.

  • Family Medicine Physician
  • Avalon, CA
National Provider Identifier
1891767299
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
145912 Issued in CA
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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 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, ND2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180302002202 CA Practitioner - Family Practice 2860442514 Reassigns benefits to 2 organizations
I20240702004527 ND Practitioner - Family Practice 2860442514 Reassigns benefits to 2 organizations

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
Avalon Medical Development CorporationGroup PAC ID 1850283995, 28 clinicians
McKenzie County Healthcare Systems IncGroup PAC ID 5890768006, shared by 5 NPIs, 63 clinicians

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 100Reported as apm
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

LicenseStateTypeSpecialty
145912CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seneca Healthcare District CurrentSince Jan 28, 2018 Accepting new patients
Seneca Healthcare District Current Accepting new patients
Avalon Medical Development Corporation CurrentSince Jan 3, 2020 Accepting new patients
McKenzie County Healthcare Systems Inc CurrentSince Jun 1, 2024 Accepting new patients
Seneca Healthcare District CurrentSince Jan 28, 2018 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

  • Direct secure messaging: edwin.mcgroarty.1@14021.direct.athenahealth.com
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.