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Deactivated NPI 1306122809 Deactivated / Inactive NPI Male Practitioner

Michael Grodach , PA-C

Physician Assistant • Cleveland, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Michael Grodach has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 27, 2011
NPI Deactivation Date October 28, 2020
Total Practice Duration ~9 Years of Practice (2011 – 2020)

Professional Overview & Biography Verified Profile Summary

Michael Grodach, PA-C was a registered Physician Assistant practicing in Cleveland, OH. Throughout an active medical career spanning 9 years, Michael Grodach provided care at the practice location at 2351 E 22ND ST until profile deactivation on 2020-10-28.

Historical Medicare Part B clinical services included subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2351 E 22nd St

Cleveland, OH 441153111

Telephone 2163632580
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Cleveland, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.1 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
730 Specialists

Practicing in Cleveland, OH (5376 Statewide)

Telehealth Adoption Rate
17.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
55.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
41 17 $124.00 $58.78
99238 Hospital discharge day management, 30 minutes or less
11 11 $139.00 $58.65

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OH 323-A

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Christopher Adelman , MD

Internal Medicine - Addiction Medicine

NPI 1063499598

Doctor of Medicine (M.D.)

Dr. Theodore Parran , MD

Internal Medicine - Addiction Medicine

NPI 1811974348

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 28, 2020

Record deactivated on October 28, 2020

NPI Profile Active October 27, 2011

NPI status registered as active in NPPES database

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Updated Practice Location October 27, 2011

Registered at 2351 E 22ND ST, CLEVELAND, OH 441153111 (Tel: 2163632580)

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Updated Business Mailing Address October 27, 2011

Registered at 714 JAYCOX RD, AVON LAKE, OH 440122223

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Provider Name / Credentials Updated October 27, 2011

Recorded as MICHAEL GRODACH, P.A.-C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2011

Physician Assistant (License #323-A in OH)

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Initial NPI Registration & Enumeration October 27, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306122809
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 27, 2011
Last Update: October 27, 2011
Deactivation Date: October 28, 2020

Mailing Address

714 Jaycox Rd

Avon Lake, OH 440122223

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.