Melinda J Gruber, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01045418 Issued in IN

Practice address

92 W Christmas Blvd
Santa Claus
Santa Claus, IN 47579-6044

Phone

(812) 937-4120

Fax

(812) 937-7074

NPI assigned

May 31, 2006

Last updated

Nov 26, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Family Practice

Education

Indiana University School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Deaconess Clinic IncGroup PAC ID 3375610116, 411 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital and Health Care Center Hospital, Jasper, IN, CCN 150115

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mgruber1056233@direct.deaconess.com

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.

• Deaconess Clinic Inc.

  • Internal Medicine Physician
  • Evansville, IN
  • NPI 1619123585
  Medicare reassignment Care Compare group
• Deaconess Clinic Inc

  • Pediatrics Physician
  • Washington, IN
  • NPI 1356132310

  Family Medicine

  NPD
• Deaconess Clinic, Inc.

  dba Deaconess Clinic - S Green River Rd

  • Family Medicine Physician
  • Evansville, IN
  • NPI 1023644838
  NPD
• Deaconess Memorial Medical Center Inc

  dba Memorial Healthcare of Huntingburg

  • Emergency Medicine Physician
  • Huntingburg, IN
  • NPI 1114120128

  Family Medicine

  NPD
• Deaconess Memorial Medical Center Inc

  dba Memorial Hospital and Health Care Center Santa Claus Family Medicine

  • Family Medicine Physician
  • Santa Claus, IN
  • NPI 1295788362
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Deaconess Memorial Medical Center, Inc.

  dba Memorial Hospital & Health Care Center

  • General Acute Care Hospital
  • Jasper, IN
  • NPI 1003895947
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416960000000",
    "number": "1962449041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1028",
            "address_2": "JASPER",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475471028",
            "telephone_number": "812-996-0410",
            "fax_number": "812-996-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 W CHRISTMAS BLVD",
            "address_2": "SANTA CLAUS",
            "city": "SANTA CLAUS",
            "state": "IN",
            "postal_code": "475796044",
            "telephone_number": "812-937-4120",
            "fax_number": "812-937-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBER",
        "first_name": "MELINDA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2014-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01045418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00312747",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200137470",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl Anne Crawford, M.D.
• Deaconess Clinic Inc
• Deaconess Memorial Medical Center Inc (Memorial Hospital and Health Care Center Santa Claus Family Medicine)
• Deaconess Specialty Physicians Inc
• Erin E Morrison
• Jessica Knies, LAT, ATC
• Erin Marchand, MD
• Emma C Mundy, NREMT
• Victoria Lynn Painter, LCSW
• Joseph Leland Rapp'E, LCSW

• Family Medicine Physician in Santa Claus, IN
• Providers in Santa Claus, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.

Verify at the official NPI Registry.