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Nicholas David Grotjohan

Contractor β€’ Sunrise, FL

Active NPI 1427740364 Individual Practitioner Male Practitioner
Practice location in NPPES

5881 Nw 16th Pl Apt 219
Sunrise, FL 333134776

Call 9542977369 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5881 Nw 16th Pl Apt 219

Sunrise, FL 333134776

Telephone 9542977369
Organization at the Same NPPES Address or Phone
Grotjohan Insurance Inc Facility NPI 1083453633

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Sunrise and Florida

10 active clinicians are listed under Contractor with a practice address in Sunrise, FL (753 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-08-14
Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

License # reported to NPPES FL W473363

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
H1019-023 (FL)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Business Mailing Address August 14, 2023

Registered at 11110 W OAKLAND PARK BLVD STE 376, SUNRISE, FL 333516808 (Tel: 9542977369)

πŸ“
Updated Business Mailing Address July 05, 2023

Registered at 5881 NW 16TH PL APT 219, SUNRISE, FL 333134776 (Tel: 9542977369)

βœ…
NPI Profile Active June 02, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 02, 2023

Registered at 5881 NW 16TH PL APT 219, SUNRISE, FL 333134776 (Tel: 9542977369)

πŸ“
Business Mailing Address (Initial Record) June 02, 2023

Registered at 11110 W OAKLAND PARK BLVD STE 376, SUNRISE, FL 333516808

πŸ‘€
Provider Name / Credentials (Initial Record) June 02, 2023

Recorded as NICHOLAS GROTJOHAN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2023

Contractor (license number reported to NPPES: FL W473363)

🟒
Initial NPI Registration & Enumeration May 22, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1427740364
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2023
Last Update: August 14, 2023
Sole Proprietor: Yes

Mailing Address

11110 W Oakland Park Blvd Ste 376

Sunrise, FL 333516808

Phone: 9542977369

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.