Active NPI
Jerome Julian Grove, MD
- Interventional Pain Medicine Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 37166
- Practice address
- 20950 N Tatum Blvd Ste 100
Phoenix, AZ 85050-4204 - Phone
- (480) 222-7246
- Fax
- (480) 222-7271
- NPI assigned
- May 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | L15479R | LA | |
| Interventional Pain Medicine Physician | 208VP0014X | 37166 | AZ | Primary |
Addresses
Primary practice location
20950 N Tatum Blvd Ste 100
Phoenix, AZ 85050-4204
Mailing address
20950 N Tatum Blvd Ste 100
Phoenix, AZ 85050-4204
Phone (480) 222-7246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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
- Interventional Pain Management
- Education
- University of Colorado School of Medicine, Denver, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10510 N 92ND St
Scottsdale, AZ 85258-4566
19636 N 27TH Ave
Suite 201
Phoenix, AZ 85027-4015
Phone (623) 516-4400
20950 N Tatum Blvd
Suite 100
Phoenix, AZ 85050-4204
Phone (480) 222-7246
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L15479R | LA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Union Hills Pain Partners LLC | Anesthesiology | Current | Accepting new patients |
| Scottsdale Healthcare Corp | Current | Accepting new patients | |
| Scottsdale Surgical Partners LLC | Anesthesiology | Current | Accepting new patients |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Equality Medical Group LLC | Past | Accepting new patients | |
| Comprehensive Pain Management LLC | Specialist | Past | Accepting new patients |
| Honorhealth Ambulatory | Past | Accepting new patients | |
| Equality Health at Home Inc | Past | Accepting new patients | |
| Comprehensive Pain Management, LLC | Specialist | Past | Accepting new patients |
| Your Neighborhood Healthcare Center LLC | Past | Accepting new patients |
Locations
4025 W Chandler Blvd
Ste 1
Chandler, AZ 85226
Phone (480) 222-7246
4727 E Union Hills Dr
Ste 300
Phoenix, AZ 85050
Phone (480) 207-3737
20950 N Tatum Blvd
Ste 100
Phoenix, AZ 85050
Phone (480) 222-7246
10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250
8901 E Raintree Dr
Ste 100
Scottsdale, AZ 85260
Phone (480) 676-2100
10200 N 92nd St
Ste 150
Scottsdale, AZ 85258
Phone (480) 860-8488
Interoperability endpoints
- jgrove51766@direct.honorhealth.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 11
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582070400000",
"number": "1932153236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20950 N TATUM BLVD STE 100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850504204",
"telephone_number": "480-222-7246",
"fax_number": "480-222-7271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20950 N TATUM BLVD STE 100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850504204",
"telephone_number": "480-222-7246",
"fax_number": "480-222-7271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROVE",
"first_name": "JEROME",
"middle_name": "JULIAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-20",
"last_updated": "2020-02-19",
"certification_date": "2020-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "LA",
"license": "L15479R",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "AZ",
"license": "37166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.