Active NPI
Michael J Groth, MD
- Plastic and Reconstructive Surgery Physician
- Beverly Hills, CA
National Provider Identifier
1902828007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- G58694
- Practice address
- 9675 Brighton Way
Suite 410
Beverly Hills, CA 90210-5192 - Phone
- (310) 274-2525
- Fax
- (310) 274-5530
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | G58694 | CA | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | G58694 | CA | Primary |
Addresses
Primary practice location
9675 Brighton Way
Suite 410
Beverly Hills, CA 90210-5192
Mailing address
9675 Brighton Way
Suite 410
Beverly Hills, CA 90210-5192
Phone (310) 274-2525
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1800085000 | Other | RAILROAD MEDICARE | |
| 00G586940 | Other | CA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2013 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G58694 | CA | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1902828007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9675 BRIGHTON WAY",
"address_2": "SUITE 410",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902105192",
"telephone_number": "310-274-2525",
"fax_number": "310-274-5530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9675 BRIGHTON WAY",
"address_2": "SUITE 410",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902105192",
"telephone_number": "310-274-2525",
"fax_number": "310-274-5530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROTH",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "G58694",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "CA",
"license": "G58694",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "1800085000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00G586940",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.