PHILLIP MICHAEL GROB M. D.
NPI 1588725253
Psychiatry & Neurology - Geriatric Psychiatry in Santa Rosa, CA
NPI Status: Active since December 13, 2006
Contact Information
339 COLLEGE AVE
SANTA ROSA, CA
ZIP 95401
Phone: (707) 573-0223
Fax: (707) 573-0222
- Individual
- Male
- Psychiatry & Neurology
- Geriatric Psychiatry
- Opted-Out Medicare
About PHILLIP GROB
This page provides the complete NPI Profile along with additional information for Phillip Grob, a provider established in Santa Rosa, California with a medical specialization in Psychiatry & Neurology, focusing in geriatric psychiatry . The healthcare provider is registered in the NPI registry with number 1588725253 assigned on December 2006. The practitioner's primary taxonomy code is 2084P0805X with license number G85079 (CA). The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1588725253
- Provider Name
- PHILLIP MICHAEL GROB M. D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 339 COLLEGE AVE SANTA ROSA, CA 95401
- Location Phone
- (707) 573-0223
- Location Fax
- (707) 573-0222
- Mailing Address
- 3322 CHANATE RD SANTA ROSA, CA 95404
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-13-2006
- Last Update Date
- 07-08-2014
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Phillip Grob opted out of Medicare effective on 04-01-2024 until 04-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Geriatric Psychiatry
- Taxonomy Code
- 2084P0805X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- G85079
- License State
- CA
- Taxonomy Description
- Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| G52632 | MEDICARE UPIN (02) | CA |
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 04-01-2024
Opt-Out End Date: 04-01-2026
Eligible to Order and Refer? No
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Telephone medical discussion with physician, 21-30 minutes
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
This service was performed 61 times for 18 patientsReviews for PHILLIP MICHAEL GROB M. D.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1588725253, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1588725253, enumerated as an "individual" on December 13, 2006.
The provider is located at 339 COLLEGE AVE SANTA ROSA, CA 95401 and the phone number is (707) 573-0223.
Psychiatry & Neurology with taxonomy code 2084P0805X and a focus in Geriatric Psychiatry.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
