LYNN A GRONBACH (DO) – Family Medicine Physician, NPI 1033418454

LYNN A GRONBACH (DO) is a healthcare provider. based in Cincinnati, Ohio. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 34.011228 (OH). The NPI Number for LYNN A GRONBACH (DO) is 1033418454

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
LYNN A GRONBACH (DO)
NPI
1033418454
Phone
(513) 246-7796
Address
4685 FOREST AVE
Enumeration Date
24 March 2011
Last Update Date
12 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5138317503
Graduation Year
2007 (19 years ago)
PAC ID
5395961965
Group Practice PAC ID
4486023132
Professional Enrollment ID
I20140717001696
Address ID
OH451503078MI5914XRDXX502
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:15State licenses:1Digital endpointsOther names

4,432 FAMILY PRACTICE in OH

Provider Addresses for LYNN A GRONBACH (DO)

  • 4685 FOREST AVE

    STE C

    CINCINNATI, OH 452123397

    Phone: (513) 246-7796

    Fax: (513) 852-8525

    Type: Mailing

  • 379 DIXMYTH AVE

    CINCINNATI, OH 452202475

    Phone: (513) 246-7000

    Fax: (513) 246-7590

    Type: Location

  • PO BOX 25592

    NEW YORK, NY 100876951

    Phone: (708) 424-3201

    Fax: (708) 424-5001

    Type: Mailing

  • 5914 WOLFPEN PLEASANT HILL RD STE E

    MILFORD, OH 451503078

    Phone: (513) 831-7503

    Fax: (513) 831-7923

    Type: Location

  • 7642 READING RD STE C

    CINCINNATI, OH 452373204

    Phone: (513) 246-7796

    Fax: (513) 810-4400

    Type: Mailing

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.

This can happen when there are no reportable CMS Open Payments records.

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: 2014-07-17

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
I20140717001696IFamily PracticeOHTBD

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.

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

Insurance plans in this area (ZIP 45212)

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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: 4486023132View full group profile
NameSpecialtyState
P O D I A T R YOH
Emergency MedicineIL
P O D I A T R YOH
P O D I A T R YOH
P O D I A T R YOH
P O D I A T R YOH
P O D I A T R YOH
P O D I A T R YOH
P O D I A T R YOH
P O D I A T R YTX

Reviews

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No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to LYNN A GRONBACH (DO)?
NPI 1033418454 is assigned to LYNN A GRONBACH (DO) under the national enumeration system.
Is LYNN A GRONBACH (DO)'s NPI currently valid?
The extract we use shows LYNN A GRONBACH (DO) as active.
What does LYNN A GRONBACH (DO) treat or focus on?
Patients typically see LYNN A GRONBACH (DO) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for LYNN A GRONBACH (DO)?
We surface Cincinnati, Ohio for LYNN A GRONBACH (DO) based on available NPPES addresses.
Is LYNN A GRONBACH (DO) a real provider?
This page reflects official NPPES data for NPI 1033418454. Always confirm identity and privileges with the practice and licensing boards.

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