Individual provider Active NPI

Jerome Julian Grove, MD

  • Interventional Pain Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1932153236
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
37166 Issued in AZ
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

Updated by the provider on Feb 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070807000152 AZ Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 5294704904 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
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
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

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

LicenseStateTypeSpecialty
L15479RLAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory Current Accepting new patients
Union Hills Pain Partners LLC Anesthesiology CurrentSince May 12, 2018 Accepting new patients
Scottsdale Healthcare Corp CurrentSince Sep 28, 2021 Accepting new patients
Scottsdale Surgical Partners LLC Anesthesiology CurrentSince Oct 10, 2018 Accepting new patients
Honorhealth Ambulatory CurrentSince Sep 28, 2021 Accepting new patients
Equality Medical Group LLC Past Accepting new patients
Comprehensive Pain Management LLC Specialist PastSince Sep 21, 2020 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 PastSince Nov 1, 2020 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

  • Direct secure messaging: jgrove51766@direct.honorhealth.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.