Active NPI
Medhat N. Grace, M.D.
- Family Medicine Physician
- Bowling Green, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 33548
- Practice address
- 1225 Fairway St
Bowling Green, KY 42103-2477 - Phone
- (270) 781-3910
- Fax
- (270) 842-7177
- NPI assigned
- Sep 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 33548 | KY | Primary |
Addresses
Primary practice location
1225 Fairway St
Bowling Green, KY 42103-2477
Mailing address
201 Park St
Bowling Green, KY 42101-1759
Phone (270) 780-2497
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64353485 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
121 College St
Smiths Grove, KY 42171-8239
Phone (270) 796-5599
Hospital & facility affiliations
- The Medical Center (Bowling Green)
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Graves Gilbert Clinic PLLC | Current | Accepting new patients | |
| Graves Gilbert Clinic PLLC | Current | Accepting new patients | |
| Commonwealth Health Corporation, Inc. | Past | Accepting new patients |
Locations
2724 Nashville Rd
Bowling Green, KY 42101
Phone (270) 780-0560
1225 Fairway St
Bowling Green, KY 42103
Phone (270) 781-3910
350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075
201 Park St
Bowling Green, KY 42101
Phone (270) 651-2229
1030 Brookhaven Rd
Franklin, KY 42134
Phone (270) 586-1800
121 College St
Smiths Grove, KY 42171
Phone (270) 563-3000
Interoperability endpoints
- medhatgrace@ggc.allscriptsdirect.net
Organizations & group practices 4
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.
-
- Neurology Physician
- Bowling Green, KY
- NPI 1881109304
-
- Specialist
- Bowling Green, KY
- NPI 1114948288
-
- Rural Health Clinic/Center
- Cave City, KY
- NPI 1104635663
-
- Plastic and Reconstructive Surgery Physician
- Bowling Green, KY
- NPI 1104470699
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bowling Green, KY
- NPI 1043293608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434499200000",
"number": "1083608566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 PARK ST",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421011759",
"telephone_number": "270-780-2497",
"fax_number": "270-783-0454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 FAIRWAY ST",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421032477",
"telephone_number": "270-781-3910",
"fax_number": "270-842-7177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRACE",
"first_name": "MEDHAT",
"middle_name": "N.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-09",
"last_updated": "2015-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "33548",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64353485",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.