Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GREGORY A GROETSEMA MD
NPI 1790727873
Emergency Medicine in San Jose, CA

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment
2105 FOREST AVE, SAN JOSE, CA 95128(408) 947-2500(818) 587-2493 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gregory A Groetsema Md NPPES

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

GREGORY A GROETSEMA MD (NPI 1790727873) is an individual emergency medicine provider in San Jose, California, licensed in California (A71705) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other.

NPPES Registry Identity

NPI1790727873
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameGREGORY A GROETSEMACredential: MD
Location Address2105 FOREST AVESan Jose, CA 95128-1425
Mailing AddressPo Box 4419Woodland Hills, CA 91365-4419 · (888) 620-3100 · Fax (818) 587-2493
Fax(818) 587-2493
Sole ProprietorNo
Medical School CMSOther
Enumeration DateJune 12, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1790727873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in CA · A71705
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
2105 FOREST AVE, San Jose, CA 95128

Other Identifiers 3

OtherP00061327CA · Railroad Medicare
Other00A717050CA · Blue Shield
Medicaid00A717050CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Gregory A Groetsema 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 ID5395895544
PECOS Enrollment IDI20111209000352
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.

Areas of Expertise CMS Part B claims 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
351 services339 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
249 services227 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
155 services150 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
88 services86 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Emergency Medicine
2105 FOREST AVE
SAN JOSE, CA 95128
Perfusionist
2105 FOREST AVE
SAN JOSE, CA 95128
Emergency Medicine
2105 FOREST AVE
SAN JOSE, CA 95128
Student in an Organized Health Care Education/Training Program
2105 FOREST AVE
SAN JOSE, CA 95128
Pharmacist
2105 FOREST AVE
SAN JOSE, CA 95128
Emergency Medicine
2105 FOREST AVE
SAN JOSE, CA 95128
Physical Therapist
2105 FOREST AVE
SAN JOSE, CA 95128
Nurse Practitioner (Family)
2105 FOREST AVE
SAN JOSE, CA 95128

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 Gregory Groetsema's NPI number?

The NPI number for Gregory Groetsema is 1790727873. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Gregory Groetsema located?

Gregory Groetsema practices at 2105 Forest Ave, San Jose, CA 95128. The listed phone number is (408) 947-2500.

What is Gregory Groetsema's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Gregory Groetsema enrolled in Medicare?

Yes. Gregory Groetsema 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.

When was this NPI record last updated?

The NPPES record for Gregory Groetsema was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.