Active NPI
Nicholas Richard Groch, D.O.
- Otolaryngology/Facial Plastic Surgery Physician
- Oswego, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- 270541
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000486232 | Other | OH | ANTHEM |
| 7268808 | Other | OH | AETNA |
| 06184 | Other | OH | PARAMOUNT |
| 2669189 | Medicaid | OH | |
| P00358244 | Other | OH | RRMC |
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
Enrollment records 1
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
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
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.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34-008803 | OH | MD | Otolaryngology Physician |
| 34.008803 | OH | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Auburn Community Hospital | Current | Accepting new patients | |
| Auburn Memorial Medical Services, PC | Current | Accepting new patients | |
| Physician Care PC | Current | Accepting new patients | |
| Auburn Memorial Medical Services, PC | Otolaryngology | Current | Accepting new patients |
| Auburn Community Hospital | Current | 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
- ngroch@amms.medentdirect.com
- 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.
-
- Orthopaedic Surgery Physician
- Auburn, NY
- NPI 1194913749
Otolaryngology
-
- Internal Medicine Physician
- Oswego, NY
- NPI 1073868113
-
- General Acute Care Hospital
- Auburn, NY
- NPI 1093712911
-
- Internal Medicine Physician
- Auburn, NY
- NPI 1336855683
-
- Foot & Ankle Surgery Podiatrist
- Auburn, NY
- NPI 1467151852
-
- Facial Plastic Surgery Physician
- Coral Springs, FL
- NPI 1730337098
-
- Facial Plastic Surgery Physician
- Coral Springs, FL
- NPI 1356568307
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Auburn, NY
- NPI 1093712911
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.
- 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.