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Michael Groden

General Practice β€’ Jb Andrews, MD

Active NPI 1598350522 Individual Practitioner Male Practitioner
Practice location in NPPES

1060 W Perimeter Rd
Jb Andrews, MD 207626602

Call 8889991212 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

1060 W Perimeter Rd

Jb Andrews, MD 207626602

Telephone 8889991212
Organization at the Same NPPES Address or Phone
316th Medgrp-Malcolm Grow Facility NPI 1215994660

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

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2021

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 Jb Andrews and Maryland

4 active clinicians are listed under General Practice with a practice address in Jb Andrews, MD (385 in Maryland).

Addresses are self-reported to NPPES and may be out of date.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: 2024-04-18
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES VA 0101275925

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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: Maryland Board of Physicians.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
NPI 1730669946

Doctor of Medicine (M.D.)

Dr. David Basile , MD

Emergency Medicine

NPI 1174109607

Doctor of Medicine (M.D.)

Jason Benchich

Nurse Anesthetist, Certified Registered

NPI 1871228619

Career & Practice History Timeline

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

9 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2024

General Practice (license number reported to NPPES: VA 0101275925)

πŸ“
Updated Practice Location April 26, 2023

Registered at 1060 W PERIMETER RD, JB ANDREWS, MD 207626602 (Tel: 8889991212)

πŸ“
Updated Business Mailing Address April 26, 2023

Registered at 1060 W PERIMETER RD, JB ANDREWS, MD 207626602 (Tel: 8889991212)

βœ…
NPI Profile Active March 02, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 02, 2021

Registered at 34800 BOB WILSON DR, SAN DIEGO, CA 921345000 (Tel: 6198819169)

πŸ“
Business Mailing Address (Initial Record) March 02, 2021

Registered at 34800 BOB WILSON DR, SAN DIEGO, CA 921345000 (Tel: 6198819169)

πŸ‘€
Provider Name / Credentials (Initial Record) March 02, 2021

Recorded as MICHAEL GRODEN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2021

Military Health Care Provider

🟒
Initial NPI Registration & Enumeration March 02, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1598350522
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 02, 2021
Last Update: April 18, 2024
Sole Proprietor: No

Mailing Address

1060 W Perimeter Rd

Jb Andrews, MD 207626602

Phone: 8889991212

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.