Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Robert E Grondahl, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1922191816

Robert E Grondahl, MD is an Obstetrics/Gynecology in Avon, Indiana. Qualified in 1993, 33 years ago. Practices with Mainehealth, a 2,615-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
33
Licensed in
IN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1111 Ronald Reagan Pkwy Ste 1400
Avon, IN 46123-7085
Phone: (317) 217-2777
Fax: (317) 217-2775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 16 Fahy St Ste 108, Belfast, ME 04915-6029 — (207) 505-4345

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 01059882 (IN)

Record details

NPI number1922191816
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 2, 2006
Last updated in NPPESJune 26, 2019
Mailing address1111 Ronald Reagan Pkwy Ste C1400, Avon, IN 46123-7085

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Mainehealth — 2615 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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