Individual provider Active NPI

Kirk Fredrick Granlund, MD

  • Orthopaedic Surgery Physician
  • Chico, CA
National Provider Identifier
1063481893
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A65440 Issued in CA
Practice address
131 Raley Blvd
Chico, CA 95928-8347
Phone
(530) 897-4500
Fax
(530) 897-4544
NPI assigned
Mar 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A65440 CA Primary

Addresses

Primary practice location

131 Raley Blvd
Chico, CA 95928-8347

Mailing address

131 Raley Blvd
Chico, CA 95928-8347
Phone (530) 897-4500

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ528462OtherBLUE SHIELD
00A654400MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kirk.granlund.1@5678.direct.athenahealth.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100111000614 CA Practitioner - Orthopedic Surgery 0345381471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Minnesota Medical School, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

131 Raley Blvd
Chico, CA 95928-8347
Phone 5308974500128

Hospital & facility affiliations

  • Butte Home Health and Hospice Home health agency, Chico, CA, CCN 057679
  • Valley View Healthcare Services LLC Home health agency, Chico, CA, CCN 559751
  • Enloe Medical Center Home Health Agency Home health agency, Chico, CA, CCN 057661
  • Enloe Health Hospital, Chico, CA, CCN 050039
  • Oroville Hospital Hospital, Oroville, CA, CCN 050030
  • Seneca District Hospital Hospital, Chester, CA, CCN 051327

Merit-based Incentive Payment System (MIPS)

Final score
84.59 of 100Reported as individual
Quality
70
Promoting interoperability
100
Improvement activities
40
Cost
78.62

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement58
Lower limb (leg) arthroscopy (minimally invasive joint repair)70
Upper limb (arm) arthroscopy (minimally invasive joint repair)55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A65440CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Associates of Northern California a Medical Group Orthopaedic Surgery CurrentSince Mar 2, 2002 Accepting new patients

Locations

131 Raley Blvd
Chico, CA 95928
Phone (530) 897-4500

1600 Esplanade
Ste C
Chico, CA 95926
Phone (530) 332-4470

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5678/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kgranlund15251@enloedirect.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1063481893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 RALEY BLVD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959288347",
            "telephone_number": "530-897-4500",
            "fax_number": "530-897-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 RALEY BLVD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959288347",
            "telephone_number": "530-897-4500",
            "fax_number": "530-897-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANLUND",
        "first_name": "KIRK",
        "middle_name": "FREDRICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A65440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ528462",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A654400",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kirk.granlund.1@5678.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "system-generated address that providers use for the secure transfer of files containing clinical data",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Files that are transferred through a provider's Direct address will appear in their Clinical Inbox.",
            "address_1": "131 Raley Blvd",
            "city": "Chico",
            "state": "CA",
            "country_code": "US",
            "postal_code": "959288347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.