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ASTRID GROULS MD
NPI 1275988651
Internal Medicine - Hospice and Palliative Medicine in Houston, TX

Active since May 04, 2016PECOS EnrolledAccepts Medicare Assignment
91.34/100
CMS Quality Rating
1 BAYLOR PLZ # MS 680, HOUSTON, TX 77030(713) 798-2298 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Astrid Grouls Md NPPES

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

ASTRID GROULS MD (NPI 1275988651) is an individual hospice and palliative medicine provider in Houston, Texas, licensed in Texas (S4772) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1275988651
Entity TypeIndividualFemale
Primary Taxonomy207RH0002X
Provider Legal NameASTRID GROULSCredential: MD
Location Address1 BAYLOR PLZ # MS 680Houston, TX 77030-3411
Mailing Address7200 Cambridge StHouston, TX 77030-4202 · (713) 798-1000
Phone(713) 798-2298
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2016
Enumeration DateMay 4, 2016
Last NPPES UpdateMarch 22, 2022
NPPES CertifiedMarch 22, 2022
✔ NPI 1275988651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
License✔ Licensed in TX · S4772
Definition
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Also ListedInternal MedicineTaxonomy 207R00000X · License S4772 (TX)
Also ListedHospitalistTaxonomy 208M00000X · License S4772 (TX)
1 BAYLOR PLZ # MS 680, Houston, TX 77030
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Secondary Practice Location 1

Location 16431 Fannin St, Suite MSB 1.134Houston, TX 77030-1501 · Phone (713) 500-6500 · Fax (713) 500-6497

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Astrid Grouls Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830512508
PECOS Enrollment IDI20200714001357
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Astrid Grouls reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baylor College Of Medicine
0.2 mi
Internal Medicine
6620 MAIN ST
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,296 clinicians in this Medicare group
NPI 1104867175 (713) 798-2500
Baylor College Of Medicine
0.7 mi
Medical Genetics, Ph.D. Medical Genetics
7200 CAMBRIDGE ST FL 10
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,554 clinicians in this Medicare group
NPI 1881026664 (713) 798-0000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
172 services40 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
49 services47 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450193
Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.64
Promoting Interoperability89.13
Improvement Activities40

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Astrid Grouls's NPI number?

The NPI number for Astrid Grouls is 1275988651. It was assigned to this individual provider in the NPPES registry on May 4, 2016.

Where is Astrid Grouls located?

Astrid Grouls practices at 1 Baylor Plz # Ms 680, Houston, TX 77030. The listed phone number is (713) 798-2298.

What is Astrid Grouls's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is Astrid Grouls enrolled in Medicare?

Yes. Astrid Grouls is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Astrid Grouls's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Astrid Grouls reassigns Medicare benefits to 2 organizations: Baylor College Of Medicine (Houston, TX) and Baylor College Of Medicine (Houston, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Astrid Grouls's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Astrid Grouls accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 2 other insurers list Astrid Grouls as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Astrid Grouls affiliated with any hospitals?

According to CMS data, Astrid Grouls is affiliated with Chi St Luke's Health Baylor College Of Medicine Me.

When was this NPI record last updated?

The NPPES record for Astrid Grouls was last updated on March 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.