Active NPI
Eugene Groysman, MD
- Family Medicine Physician
- Greendale, IN
National Provider Identifier
1902897648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01058380
- 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, 2019
- 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 | 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 53 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 01058380 | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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
- 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.
-
- Prosthetic/Orthotic Supplier
- Lawrenceburg, IN
- NPI 1033417829
-
- Family Medicine Physician
- Lawrenceburg, IN
- NPI 1487618807
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
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.