ROGER L GROVES, MD PC
NPI 1821055930
Family Medicine in Paoli, PA

NPI Status: Active since May 01, 2006

Contact Information

250 W LANCASTER AVE
SUITE 215
PAOLI, PA
ZIP 19301
Phone: (610) 647-1204
Fax: (610) 647-1240

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  • Organization
  • Family Medicine

About ROGER L GROVES, MD PC

This page provides the complete NPI Profile along with additional information for Roger L Groves, Md Pc, a primary care provider established in Paoli, Pennsylvania operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1821055930 assigned on May 2006. The practitioner's primary taxonomy code is 207Q00000X with license number MD033248L (PA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Roger L Groves Md (President)

NPI
1821055930
Provider Name
ROGER L GROVES, MD PC
Entity Type
Organization
Location Address
250 W LANCASTER AVE SUITE 215 PAOLI, PA 19301
Location Phone
(610) 647-1204
Location Fax
(610) 647-1240
Mailing Address
250 W LANCASTER AVE SUITE 215 PAOLI, PA 19301
Mailing Phone
(610) 647-1204
Mailing Fax
(610) 647-1240
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-01-2006
Last Update Date
07-24-2012
Code Navigator

A primary care provider (PCP) like Roger L Groves, Md Pc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
MD033248L
License State
PA
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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.

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.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ROGER L GROVES MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(610) 647-1204

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
0026452000OTHER (01)PAAMERIHEALTH
2454668001OTHER (01)PAKEYSTONE
255202OTHER (01)PAHEALTH AMERICA
30019442OTHER (01)PAKEYSTONE MERCY
4092568OTHER (01)PAAETNA
122794MEDICARE ID-TYPE UNSPECIFIED (04)PA 
0100373102OTHER (01)PAAMERICHOICE
122794OTHER (01)PAINDEP BLUE CROSS
00122794MEDICARE PIN (08) 
C30807MEDICARE UPIN (02) 
0000104868802OTHER (01)PAUNITED HEALTHCARE
0875497OTHER (01)PACIGNA
0010037310005MEDICAID (05)PA 

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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 1821055930, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
2
Doubled → 4
Pos 4
1
Unchanged
Pos 5
0
Doubled → 0
Pos 6
5
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
9
Unchanged
Pos 9
3
Doubled → 6
Check
0
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 2 → 4 0 → 0 5 → 10 → 1 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 4 + 1 + 0 + 5 + 1 + 0 + 9 + 6 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1821055930.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

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Family Medicine
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Family Medicine
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Occupational Therapist (Hand)
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Psychiatry & Neurology (Neurology)
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Acupuncturist
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Psychiatry & Neurology (Neurology)
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Dentist
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Occupational Therapist
250 W LANCASTER AVE, SUITE 205
PAOLI, PA 19301
Dentist (Endodontics)
250 W LANCASTER AVE, SUITE 300
PAOLI, PA 19301
Physician Assistant
250 W LANCASTER AVE, SUITE 120
PAOLI, PA 19301
Dentist (Orthodontics and Dentofacial Orthopedics)
250 W LANCASTER AVE, #230
PAOLI, PA 19301
Dentist (General Practice)
250 W LANCASTER AVE, SUITE 240
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Internal Medicine
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Acupuncturist
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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821055930, enumerated as an "organization" on May 01, 2006.

The provider is located at 250 W LANCASTER AVE SUITE 215 PAOLI, PA 19301 and the phone number is (610) 647-1204.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: AmeriHealth, Medicare, Medicaid, Aetna, Blue Cross. Please consult your insurance carrier or call the provider to verify.