Individual provider Active NPI

Nicholas Richard Groch, D.O.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Oswego, NY
National Provider Identifier
1922031004
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
270541 Issued in NY
Practice address
140 W 6TH St
Suite 210
Oswego, NY 13126-2525
Phone
(315) 349-5828
Fax
(315) 349-5829
NPI assigned
Jul 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 34.008803 OH
Otolaryngology Physician 207Y00000X 34-008803 OH
Facial Plastic Surgery Physician 207YS0123X OS10415 FL
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 270541 NY Primary

Addresses

Primary practice location

140 W 6TH St
Suite 210
Oswego, NY 13126-2525

Mailing address

110 W 6TH St
Oswego, NY 13126-2507
Phone (315) 349-5511

Other identifiers 5

IdentifierTypeStateIssuer
000000486232OtherOHANTHEM
7268808OtherOHAETNA
06184OtherOHPARAMOUNT
2669189MedicaidOH
P00358244OtherOHRRMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130927000059 NY Practitioner - Otolaryngology 1052314994 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Michigan State University College of Osteopathic Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Care PCGroup PAC ID 9032367453, 74 clinicians
Auburn Memorial Medical Services PCGroup PAC ID 6406931385, 121 clinicians

Practice addresses (Care Compare)

140 W 6TH St
Suite 210
Oswego, NY 13126-2554
Phone (315) 349-5828

17 Lansing St
Auburn, NY 13021-1983
Phone (315) 255-7075

Hospital & facility affiliations

  • Auburn Community Hospital Hospital, Auburn, NY, CCN 330235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34-008803OHMDOtolaryngology Physician
34.008803OHMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Auburn Community Hospital CurrentSince Jan 5, 2026 Accepting new patients
Auburn Memorial Medical Services, PC CurrentSince Jan 5, 2026 Accepting new patients
Physician Care PC CurrentSince Oct 1, 2013 Accepting new patients
Auburn Memorial Medical Services, PC Otolaryngology CurrentSince Jan 5, 2026 Accepting new patients
Auburn Community Hospital CurrentSince Jan 5, 2026 Accepting new patients
ENT Associates of Broward LLC Facial Plastic Surgery Past Accepting new patients
ENT Associates of South Florida LLC Facial Plastic Surgery Past Accepting new patients

Locations

77 Nelson St
Ste 120
Auburn, NY 13021
Phone (315) 252-7550

77 Nelson St
Ste 130
Auburn, NY 13021
Phone (315) 253-6891

110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511

140 W 6th St
Ste 210
Oswego, NY 13126
Phone (315) 343-3992

17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011

Interoperability endpoints

  • Direct secure messaging: ngroch@amms.medentdirect.com
  • Direct secure messaging: ngroch@oswegohealth.hiemail.healtheconnections.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1922031004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W 6TH ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262507",
            "telephone_number": "315-349-5511",
            "fax_number": "315-349-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W 6TH ST",
            "address_2": "SUITE 210",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262525",
            "telephone_number": "315-349-5828",
            "fax_number": "315-349-5829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROCH",
        "first_name": "NICHOLAS",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "34.008803",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "34-008803",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "FL",
            "license": "OS10415",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "NY",
            "license": "270541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000486232",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7268808",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT",
            "identifier": "06184",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2669189",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "P00358244",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, NY

Sources for this page

Verify at the official NPI Registry.