Eugene Groysman, MD
Individual provider Active NPI Family Medicine Physician · Greendale, IN
NPI 1902897648 · NPPES record last updated Jun 19, 2019
Key facts
- NPI
- 1902897648
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 01058380 (IN)
- Practice address
- 1640 Flossie Dr
Greendale, IN 47025-8424 - Phone
- (855) 227-4230
- Fax
- (812) 926-1668
- NPI assigned
- Nov 2, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 53 of 100
- Quality
- 16.97
- Promoting interoperability
- 100
- Improvement activities
- 0
- Cost
- 76.37
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01058380 | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients | |
| Health Services Corporation of Southeastern Indiana | Past | Accepting new patients | |
| Health Services Corporation of Southeastern Indiana | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- egroysman135024@direct-prd.stelizabeth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01058380 | IN | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200507590 | Medicaid | IN |
Other providers in Greendale, IN
- Chad Garman
- James J Gibbs
- Aleah Pendergraff Gibson
- Kylie Goodall
- Greendale Emergency Rescue, Inc.
- Brenda Gullion
- James Hahn
- Kayla Mae Hayes
- Katrina Hegde
- Jalean Louise Heikenfeld
All providers in Greendale, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.