DR. PAUL F GROTE MD NPI 1003801721

Family Medicine in West Chester, OH

Individual Male Family Medicine PECOS Enrolled Accepts Medicare Years Experience 41

About PAUL GROTE

Paul Grote is a provider established in West Chester, Ohio and his medical specialization is family medicine with more than 41 years of experience. The NPI number of Paul Grote is 1003801721 and was assigned on September 2005. The practitioner's primary taxonomy code is 207Q00000X with license number 35047195 (OH). The provider is registered as an individual and his NPI record was last updated 12 years ago. Paul Grote is enrolled in PECOS and registered with Medicare accepting claims assignment.

NPI

1003801721

Provider NameDR. PAUL F GROTE MD
Provider Location Address7320A KINGSGATE WAY WEST CHESTER, OH 45069
Provider Mailing Address7320A KINGSGATE WAY WEST CHESTER, OH 45069
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year1979
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date09-19-2005
Last Update Date07-16-2007

Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.35047195
License StateOH
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

DR. PAUL F GROTE MD
7320A KINGSGATE WAY
WEST CHESTER, OH
ZIP 45069
Phone: (513) 777-5100
Fax: (513) 779-9293

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Mailing Address

DR. PAUL F GROTE MD
7320A KINGSGATE WAY
WEST CHESTER, OH
ZIP 45069
Phone: (513) 777-5100
Fax: (513) 779-9293

Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID9133313281
PECOS Enrollment IDI20101102001103
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 203Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 37Administration of influenza virus vaccine (HCPCS:G0008)
  • 16Urinalysis, manual test (HCPCS:81002)
  • 11Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)

Hospital Affiliations

Hospital Name CMS Certification Number (CCN)
BETHESDA NORTH360179

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
000000010817OTHER (01)OH
0494291MEDICAID (05)OH
31103367900OTHER (01)OH
GR0517421MEDICARE ID-TYPE UNSPECIFIED (04)OH
A15189MEDICARE UPIN (02)

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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