DR. JOHN SUYDAM GROH (D.O.) – Emergency Medicine Physician, NPI 1114296548

DR. JOHN SUYDAM GROH (D.O.) is a healthcare provider. based in Port saint lucie, Florida. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. UO 2705 (FL). The NPI Number for DR. JOHN SUYDAM GROH (D.O.) is 1114296548

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN SUYDAM GROH (D.O.)
NPI
1114296548
Phone
(772) 398-1990
Address
1800 SE TIFFANY AVE
Enumeration Date
13 December 2011
Last Update Date
13 December 2011

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
7703821530
Graduation Year
2011 (15 years ago)
PAC ID
4587977269
Group Practice PAC ID
2567847684
Professional Enrollment ID
I20151022000863
Address ID
GA301202129CA960XXSEXX600
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

3,232 EMERGENCY MEDICINE in FL

Provider Addresses for DR. JOHN SUYDAM GROH (D.O.)

  • 1800 SE TIFFANY AVE

    PORT SAINT LUCIE, FL 349527521

    Phone: (772) 398-1990

    Fax: (772) 398-1925

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $521.

Total Amount is formed as General ($521) + Research ($0) + Ownership ($0) = $521.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Artivion, Inc. ($521).

Total Amount

$521

General + Research + Ownership

Payments

20

Total payment records

General Amount

$521

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Artivion, Inc.$521
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-10-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151022000863IEmergency MedicineGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making135132$0
99284Emergency department visit with moderate level of medical decision making4140$0
99291Critical care, first 30-74 minutes3230$0
View full utilization report →

Insurance plans in this area (ZIP 34952)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567847684View full group profile
NameSpecialtyState
Nurse PractitionerGA
Physician AssistantGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Emergency MedicineGA
Emergency MedicineTN
Emergency MedicineGA
Emergency MedicineGA

Reviews

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Frequently asked questions

What is DR. JOHN SUYDAM GROH (D.O.)'s NPI number?
DR. JOHN SUYDAM GROH (D.O.)'s NPI is 1114296548 — the number used across U.S. healthcare to identify this provider.
Is DR. JOHN SUYDAM GROH (D.O.) shown as active in public data?
Registry records indicate DR. JOHN SUYDAM GROH (D.O.) maintains an active NPI.
What clinical focus is listed for DR. JOHN SUYDAM GROH (D.O.)?
At a glance, DR. JOHN SUYDAM GROH (D.O.) is tied to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. JOHN SUYDAM GROH (D.O.) located near Port Saint Lucie?
DR. JOHN SUYDAM GROH (D.O.) currently maps to Port Saint Lucie, Florida in this extract.
Does DR. JOHN SUYDAM GROH (D.O.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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