MICHAEL JAMES MATTHEW GROOT MD
NPI 1033811740
Student in an Organized Health Care Education/Training Program in Dallas, TX

Q: What is Michael Groot's NPI number?

The NPI number for Michael Groot is 1033811740. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Q: What is Michael Groot's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Groot was last updated on July 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 20, 2023PECOS Enrolled

5323 HARRY HINES BLVD, DALLAS, TX 75390(214) 648-3433 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 1, 2024, Mar 20, 2023 (2 updates tracked since 2023).

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About Michael James Matthew Groot Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL JAMES MATTHEW GROOT MD (NPI 1033811740) is an individual student in an organized health care education/training program in Dallas, Texas and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033811740

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMICHAEL JAMES MATTHEW GROOTCredential: MD

Location Address5323 HARRY HINES BLVDDallas, TX 75390-1099

Mailing Address5323 Harry Hines BlvdDallas, TX 75390-1201 · (214) 648-3433

Phone(214) 648-3433

Sole ProprietorNo

Enumeration DateMarch 20, 2023

Last NPPES UpdateJuly 1, 20242 updates tracked since enumeration

NPPES CertifiedJuly 1, 2024

✔ NPI 1033811740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

5323 HARRY HINES BLVD, Dallas, TX 75390

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael James Matthew Groot Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. TANYA MARIE PLETIN PA-C

Physician Assistant