Individual provider Active NPI

David A Groening, DPM

  • Podiatrist
  • Saint Albans, VT
National Provider Identifier
1962400267
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
056-0000124 Issued in VT
Practice address
3 Crest Rd
Saint Albans, VT 05478-9753
Phone
(802) 524-8985
Fax
(802) 527-0977
NPI assigned
Jul 11, 2005
Last updated
Oct 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 056-0000124 VT Primary

Addresses

Primary practice location

3 Crest Rd
Saint Albans, VT 05478-9753

Mailing address

3 Crest Rd
Saint Albans, VT 05478-9753
Phone (802) 524-8985

Other identifiers 4

IdentifierTypeStateIssuer
480006391OtherVTRAILROAD MEDICARE/UHC
0009242MedicaidVT
8318OtherVTBCBS
54V001OtherVTMOHAWK VALLEY PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081008000016 VT Practitioner - Podiatry 4587732243 Practice locations: Saint Albans, VT; Richford, VT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056-0000124VTMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Center, Inc CurrentSince Nov 1, 2016 Accepting new patients
Northwestern Medical Center, Inc. Current Accepting new patients
Northwestern Medical Center Inc CurrentSince Nov 1, 2016 Accepting new patients
Brownway Residence Past Accepting new patients
The King's Daughters Home, Inc. Past Accepting new patients

Locations

133 Fairfield St
Saint Albans, VT 05478
Phone (802) 524-1227

3 Crest Rd
Saint Albans, VT 05478
Phone (802) 524-4554

Interoperability endpoints

  • Direct secure messaging: david.groening@nmc.medalliesdirect.net

Organizations & group practices 5

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": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1962400267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CREST RD",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054789753",
            "telephone_number": "802-524-8985",
            "fax_number": "802-527-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CREST RD",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054789753",
            "telephone_number": "802-524-8985",
            "fax_number": "802-527-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROENING",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "VT",
            "license": "056-0000124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE/UHC",
            "identifier": "480006391",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009242",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8318",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOHAWK VALLEY PLAN",
            "identifier": "54V001",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, VT

Sources for this page

Verify at the official NPI Registry.