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

Samuel Miles Grovenburg, MD

Individual provider Internal Medicine Physician · NPI 1548624166

Samuel Miles Grovenburg, MD is an Internal Medicine in Portland, Oregon. Graduated from Tulane University School of Medicine in 2016, 10 years ago. Practices with Providence Health and Services Oregon, a 1,426-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
10
Trained at
Tulane University School of Medicine
Licensed in
OR
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

4805 NE Glisan St
Portland, OR 97213
Phone: (503) 215-2392
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 — (503) 494-6551
  • 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 — (503) 494-6551

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD189434 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1548624166
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2016
Last updated in NPPESMarch 10, 2021
Certification dateMarch 10, 2021

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesHOSPITALIST
Medical schoolTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Providence Health And Services Oregon — 1426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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