Individual provider Active NPI

Joseph R Allen, M.D.

  • Family Medicine Physician
  • Bowling Green, KY
National Provider Identifier
1316945314
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30657 Issued in KY
Practice address
746 Campbell LN Ste 101
Bowling Green, KY 42104-1000
Phone
(270) 843-9510
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 30657 KY Primary

Addresses

Primary practice location

746 Campbell LN Ste 101
Bowling Green, KY 42104-1000

Mailing address

201 Park St
Bowling Green, KY 42101-1742
Phone (270) 781-5111

Other identifiers 2

IdentifierTypeStateIssuer
64306574MedicaidKY
000000654252OtherKYANTHEM

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040816001328 KY Practitioner - Family Practice 1355311028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Louisville School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Graves Gilbert Clinic PLLCGroup PAC ID 4082511167, 207 clinicians

Practice addresses (Care Compare)

201 Park St
Bowling Green, KY 42101-1742
Phone (270) 781-5111

Hospital & facility affiliations

  • Family Home Health Care, LLC Dba Adoration Home Health Home health agency, Columbia, KY, CCN 187119
  • Lifeline Health Care of Warren Home health agency, Bowling Green, KY, CCN 187080
  • The Medical Center Home Care Program Home health agency, Bowling Green, KY, CCN 187044
  • The Medical Center (Bowling Green) Hospital, Bowling Green, KY, CCN 180013
  • Tristar Greenview Regional Hospital Hospital, Bowling Green, KY, CCN 180124

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30657KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Graves Gilbert Clinic PLLC CurrentSince Aug 1, 2024 Accepting new patients
Graves Gilbert Clinic PLLC CurrentSince Aug 1, 2024 Accepting new patients

Locations

1325 Andrea St
Ste 100
Bowling Green, KY 42104
Phone (270) 901-3454

201 Park St
Bowling Green, KY 42101
Phone (270) 651-2229

746 Campbell Ln
Ste 101
Bowling Green, KY 42104
Phone (270) 843-9510

990 Wilkinson Trce
Ste 100
Bowling Green, KY 42103
Phone (270) 781-4043

990 Wilkinson Trce
Bowling Green, KY 42103
Phone (270) 781-4043

Interoperability endpoints

  • Direct secure messaging: josephallen@ggc.allscriptsdirect.net

Organizations & group practices 2

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 5

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1316945314",
    "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": "421011742",
            "telephone_number": "270-781-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "746 CAMPBELL LN STE 101",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421041000",
            "telephone_number": "270-843-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JOSEPH",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "30657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64306574",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000654252",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.