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JEREMY RYAN GROGG M.D. NPI 1053579599


NPI Information

NPI: 1053579599
Provider Name: JEREMY RYAN GROGG, M.D.
Classification: Internal Medicine - 207RE0101X
Entity Type: Individual

Specialization: Endocrinology, Diabetes & Metabolism

Organization: PARKVIEW HEALTH SYSTEM INC

PECOS Registration: Yes

Address:
11141 PARKVIEW PLAZA
SUITE 310
FORT WAYNE, IN
ZIP 46845
Phone: (260) 266-8820
Get Directions

Jeremy Ryan Grogg, M.D. is an endocrinology and diabetes and metabolism internal medicine in Fort Wayne, IN with 16 years of experience. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. Jeremy Ryan Grogg, M.D. NPI is 1053579599. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2008

The provider's business location address is:

11141 PARKVIEW PLAZA
SUITE 310
FORT WAYNE, IN
ZIP 46845-714
Phone: (260) 266-8820
Fax: (260) 266-8829

The NPI 1053579599 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Hemoglobin A1C level (HCPCS:83036)

The enumeration date for this NPI number is 5/31/2008 and was last updated on 2/25/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism01066660AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.