Active NPI
Kourtney Trudgen Grant, MD
- Obstetrics & Gynecology Physician
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MTL002932
- Practice address
- 2150 Pennsylvania Ave NW
Washington, DC 20037-3201 - Phone
- (202) 741-3000
- NPI assigned
- Mar 27, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 53198 | KY | |
| Obstetrics & Gynecology Physician | 207V00000X | MTL002932 | DC | Primary |
Addresses
Primary practice location
2150 Pennsylvania Ave NW
Washington, DC 20037-3201
Mailing address
1575 Spring Place NW Apt 4
Washington, DC 20010
Phone (859) 494-4779
Other practice location 1
125 E Maxwell St Ste 140
Lexington, KY 40508-2678
Phone (859) 323-0005 ext. 85932
Other names 1
- Dr. Kourtney Lynn Trudgen
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
- Obstetrics/Gynecology
- Education
- University of Kentucky College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
125 E Maxwell St
Suite 140
Lexington, KY 40508-2678
Phone (859) 323-0005
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.77 of 100
- Quality
- 68.25
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.39
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MTL002932 | DC | MD | Obstetrics & Gynecology Physician |
| 53198 | KY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Kentucky | Current | Accepting new patients | |
| Kentucky Medical Services Foundation, Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| University of Kentucky | Past | Accepting new patients |
Locations
125 E Maxwell St
Ste 140
Lexington, KY 40508
Phone 8593230005 ext. 85932
800 Rose St
Lexington, KY 40536
Phone (859) 257-8562
125 E Maxwell St
Lexington, KY 40508
Phone (859) 323-0005
2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800
Interoperability endpoints
- kgrant130760@ukhcdirect.org
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Lexington, KY
- NPI 1326091448
Obstetrics & Gynecology
-
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1770771974
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1518911338
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1518911338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627257600000",
"number": "1326432220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1575 SPRING PLACE NW APT 4",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20010",
"telephone_number": "859-494-4779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 PENNSYLVANIA AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200373201",
"telephone_number": "202-741-3000"
}
],
"practiceLocations": [
{
"address_1": "125 E Maxwell St Ste 140",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405082678",
"country_code": "US",
"telephone_number": "859-323-0005 x85932",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRANT",
"first_name": "KOURTNEY",
"middle_name": "TRUDGEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-27",
"last_updated": "2021-07-26",
"certification_date": "2021-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "KY",
"license": "53198",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "DC",
"license": "MTL002932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KOURTNEY",
"last_name": "TRUDGEN",
"middle_name": "LYNN",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.