NPIMap

Individual provider Active NPI

Pamella S Gronemeyer, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Highland, IL
National Provider Identifier
1942285010
Registry record updated Nov 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
036062202 Issued in IL
Practice address
1270 Mercantile Dr
Highland, IL 62249-1256
Phone
(618) 651-8097
Fax
(618) 651-8097
NPI assigned
Dec 13, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 036062202 IL Primary

Addresses

Primary practice location

1270 Mercantile Dr
Highland, IL 62249-1256

Mailing address

1280 Mercantile Dr
Highland, IL 62249-1256
Phone (618) 654-8985

Other identifiers 3

IdentifierTypeStateIssuer
036062202-2MedicaidIL
1726OtherMOBCBS
8215239OtherILBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050502000510 IL Practitioner - Pathology 2668411372 Reassigns benefits to 2 organizations
Practice locations: Highland, IL

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Tufts University School of Medicine, 1977
Medicare assignment
May accept Medicare assignment
Group practices
Vasantha Pai MD PCGroup PAC ID 5597853291, 2 clinicians
Center for Gastrointestinal Health SCGroup PAC ID 3678549268, 4 clinicians

Practice addresses (Care Compare)

1270 Mercantile Dr
Highland, IL 62249-1256
Phone (618) 651-8097

1280 Mercantile Dr
Highland, IL 62249-1256

2810 Frank Scott Pkwy W
Suite 716
Belleville, IL 62223-5007
Phone (618) 355-0880

5023 N Illinois St
Fairview Heights, IL 62208-3453
Phone (618) 239-0678

Hospital & facility affiliations

  • Ferrell Hospital Community Foundations Hospital, Eldorado, IL, CCN 141324
  • Pinckneyville Community Hospital Hospital, Pinckneyville, IL, CCN 141307
  • Red Bud Regional Hospital Hospital, Red Bud, IL, CCN 141348
  • Marshall Browning Hospital Hospital, Du Quoin, IL, CCN 141331
  • Community Hospital of Staunton Hospital, Staunton, IL, CCN 141306

Merit-based Incentive Payment System (MIPS)

Final score
92.16 of 100Reported as group
Quality
97.44
Improvement activities
40
Cost
77.29

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pamella S Gronemeyer CurrentSince Oct 21, 1991 Accepting new patients
Center for Gastrointestinal Health, SC CurrentSince Aug 1, 2011 Accepting new patients
Semc Pathology Anatomic Pathology & Clinical Pathology PastSince Sep 5, 2012 Accepting new patients

Locations

5900 Bond Ave
East Saint Louis, IL 62207
Phone (618) 332-3060

5023 N Illinois St
Fairview Hts, IL 62208
Phone (618) 239-0678

1280 Mercantile Dr
Highland, IL 62249

1270 Mercantile Dr
Highland, IL 62249
Phone (618) 274-1900

705 S Grand St
Nashville, IL 62263
Phone (618) 327-2200

325 Spring St
Redbud, IL 62278
Phone (618) 282-5165

Interoperability endpoints

  • Direct secure messaging: pgronemeye@yourcarecommunity.org

Organizations & group practices 4

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 10

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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385078400000",
    "number": "1942285010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 MERCANTILE DR",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622491256",
            "telephone_number": "618-654-8985",
            "fax_number": "618-651-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 MERCANTILE DR",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622491256",
            "telephone_number": "618-651-8097",
            "fax_number": "618-651-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRONEMEYER",
        "first_name": "PAMELLA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2013-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "036062202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036062202-2",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1726",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8215239",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, IL

Sources for this page

Verify at the official NPI Registry.