Atul Grover, MD
NPI 1639166523 · Addiction Medicine (Family Medicine) Physician · Newport Beach, CA
Enrolled with Medicare as Practitioner - Addiction Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Atul Grover, MD is a Addiction Medicine (Family Medicine) Physician provider in Newport Beach, CA (NPI 1639166523).
Provider details
- NPI number
- 1639166523
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- A55575 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
91 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 43 | $81 |
| Anesthesia for Other Procedure on Esophagus, Stomach, Or Upper Small Bowel Using an Endoscope00731 | 19 | $148 |
| Anesthesia for Procedure on Small and Large Bowel Using an Endoscope00813 | 18 | $162 |
| Anesthesia for Exam of Colon Using an Endoscope00812 | 11 | $110 |
Typical Medicare-allowed amounts for these services range $81–$162 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Buprenorphine Hcl/Naloxone Hclbrand: Buprenorphine-Naloxone | 86 |
| Buprenorphine Hcl/Naloxone Hclbrand: Suboxone | 39 |
| Fluoxetine Hcl | 35 |
| Trazodone Hcl | 20 |
| Gabapentin | 17 |
| Duloxetine Hcl | 13 |
| Pregabalin | 11 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$37 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-10-05
- Last updated
- 2024-12-03
- Certified
- 2024-12-03
Frequently asked questions
- What is Atul Grover's NPI number?
- Atul Grover's National Provider Identifier (NPI) is 1639166523, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Atul Grover's specialty?
- Atul Grover is listed in the NPPES registry with a primary specialty of Addiction Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Atul Grover located?
- Atul Grover's practice location on file with NPPES is One Hoag Drive, Newport Beach, CA 92663-4162.
- What is Atul Grover's phone number?
- The practice phone number listed in the NPPES registry for Atul Grover is (949) 764-6954.
- Does Atul Grover accept Medicare?
- Atul Grover is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Atul Grover's NPI active?
- Yes — Atul Grover's NPI (1639166523) is active in the NPPES registry as of the last update on 2024-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.