Individual provider Active NPI

Eugene Groysman, MD

  • Family Medicine Physician
  • Greendale, IN
National Provider Identifier
1902897648
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01058380 Issued in IN
Practice address
1640 Flossie Dr
Greendale, IN 47025-8424
Phone
(855) 227-4230
Fax
(812) 926-1668
NPI assigned
Nov 2, 2005
Last updated
Jun 19, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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 01058380 IN Primary

Addresses

Primary practice location

1640 Flossie Dr
Greendale, IN 47025-8424

Mailing address

PO Box 635283
Cincinnati, OH 45263-5283
Phone (855) 227-4230

Other practice location 1

19908 Augusta Dr
Suite 1
Lawrenceburg, IN 47025
Phone (812) 496-2808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
53 of 100Reported as group
Quality
16.97
Promoting interoperability
100
Improvement activities
0
Cost
76.37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01058380INMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Services Corporation of Southeastern Indiana Past Accepting new patients
Major Hospital Past Accepting new patients
Health Services Corporation of Southeastern Indiana Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: egroysman135024@direct-prd.stelizabeth.com

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1902897648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635283",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452635283",
            "telephone_number": "855-227-4230",
            "fax_number": "812-926-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 FLOSSIE DR",
            "city": "GREENDALE",
            "state": "IN",
            "postal_code": "470258424",
            "telephone_number": "855-227-4230",
            "fax_number": "812-926-1668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19908 Augusta Dr",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Lawrenceburg",
            "state": "IN",
            "postal_code": "47025",
            "country_code": "US",
            "telephone_number": "812-496-2808",
            "fax_number": "812-539-1824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROYSMAN",
        "first_name": "EUGENE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01058380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greendale, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.