JONATHON GRUBA MD
NPI 1285575092
Student in an Organized Health Care Education/Training Program in Sioux Falls, SD
About Jonathon Gruba Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JONATHON GRUBA MD (NPI 1285575092) is an individual student in an organized health care education/training program in Sioux Falls, South Dakota and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS and maintains a secondary practice location in Sioux Falls.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jonathon Gruba Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
SIOUX FALLS, SD 57105
SIOUX FALLS, SD 57105
SIOUX FALLS, SD 57105
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 Jonathon Gruba's NPI number?
The NPI number for Jonathon Gruba is 1285575092. It was assigned to this individual provider in the NPPES registry on April 3, 2026.
Where is Jonathon Gruba located?
Jonathon Gruba practices at 1305 W 18th St, Sioux Falls, SD 57105. The listed phone number is (605) 333-1000.
What is Jonathon Gruba's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jonathon Gruba enrolled in Medicare?
Yes. Jonathon Gruba is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jonathon Gruba was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Jonathon Gruba, MD · NPI 1285575092
Student in an Organized Health Care Education/Training Program provider in Sioux Falls, South Dakota. Individual provider, active in the CMS NPPES registry since April 3, 2026.
## Identity
- **NPI:** 1285575092 (Entity type: Individual)
- **Enumerated:** April 3, 2026
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1305 W 18TH ST, Sioux Falls, SD 57105-0401
- **Phone:** (605) 333-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 3, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1285575092) · Data from the CMS NPPES public registry.