JEFFREY S GROOTHUIS (MD) – Cardiovascular Disease Physician, NPI 1255307880

JEFFREY S GROOTHUIS (MD) is a healthcare provider. based in Kokomo, Indiana. specializing in Cardiovascular Disease Physician. They hold the professional credentials MD. They hold a License No. 01045118A (IN). The NPI Number for JEFFREY S GROOTHUIS (MD) is 1255307880

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY S GROOTHUIS (MD)
NPI
1255307880
Phone
(765) 454-0200
Address
2030 W BOULEVARD
Enumeration Date
24 February 2006
Last Update Date
22 September 2022

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1989 (37 years ago)
PAC ID
2365426806
Group Practice PAC ID
7012047640
Professional Enrollment ID
I20040615000801
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for JEFFREY S GROOTHUIS (MD)

  • 2030 W BOULEVARD

    KOKOMO, IN 469026079

    Phone: (765) 454-0200

    Type: Location

  • 8840, Commerce Park Place, Indianapolis, Indiana, 46268, United States

    INDIANAPOLIS, IN 462683129

    Phone:

    Type: Mailing

  • 1928, South Dixon Road, Orleans Southwest, Kokomo, Howard County, Indiana, 46902, United States

    KOKOMO, IN 469027302

    Phone: (765) 454-0200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46902)

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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: 7012047640View full group profile
NameSpecialtyState
Nurse PractitionerIN
Nurse PractitionerIN
-IN
Pulmonary Disease, Critical Care (Intensivists)IN
Advanced Heart Failure And Transplant Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineFL
Internal MedicineIN
Family PracticeIN
Cardiovascular Disease (Cardiology)IN
Cardiovascular Disease (Cardiology), Internal MedicineIN
Interventional Cardiology, Cardiovascular Disease (Cardiology)IN

Reviews

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Frequently asked questions

How do I look up JEFFREY S GROOTHUIS (MD) by NPI?
Use NPI 1255307880 when you need to reference JEFFREY S GROOTHUIS (MD) in forms, claims, or directories.
Does this profile mean JEFFREY S GROOTHUIS (MD) is currently active?
Yes — JEFFREY S GROOTHUIS (MD) appears active in the national provider directory.
Does JEFFREY S GROOTHUIS (MD) list a primary specialty?
If you are matching referrals, note Cardiovascular Disease Physician for JEFFREY S GROOTHUIS (MD). Clinical services aligned with this taxonomy classification.
Where does public data place JEFFREY S GROOTHUIS (MD)?
The snapshot lists Kokomo, Indiana for JEFFREY S GROOTHUIS (MD); download NPPES for the complete set.
Is JEFFREY S GROOTHUIS (MD) a real provider?
This page reflects official NPPES data for NPI 1255307880. Always confirm identity and privileges with the practice and licensing boards.

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