NPIMap

Individual provider Active NPI

Kevin Alexander Graham, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Louisville, KY
National Provider Identifier
1346653656
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
TP905 Issued in KY
Practice address
3 Audubon Plaza Dr Ste 560
Louisville, KY 40217-1376
Phone
(502) 636-8004
Fax
(502) 636-8384
NPI assigned
Jun 4, 2014
Last updated
Aug 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X TP905 KY Primary

Addresses

Primary practice location

3 Audubon Plaza Dr Ste 560
Louisville, KY 40217-1376

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 559-9407

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kgraham238602@direct.nortonhealthcare.org Direct
Direct Messaging Address kgraham289545@ewd.direct.hshs.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220715000330 KY Practitioner - Cardiac Surgery 6901105253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Surgery
Education
Indiana University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

3 Audubon Plaza Dr
Suite 560
Louisville, KY 40217-1376
Phone (502) 636-8004

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)22

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Community Medical Associates, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Community Medical Associates, Inc. Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients

Locations

1858 Old Lebanon Rd
Campbellsville, KY 42718
Phone (270) 465-0632

309 11th St
Carrollton, KY 41008
Phone (502) 732-3241

1301 Ring Rd
Elizabethtown, KY 42701
Phone (270) 765-2107

2410 Ring Rd
Ste 500
Elizabethtown, KY 42701
Phone (270) 765-5900

1911 Campbellsville Rd
Greensburg, KY 42743
Phone (270) 932-2221

910 Wallace Ave
Leitchfield, KY 42754
Phone (270) 259-3035

210 E Gray St
Ste 1002
Louisville, KY 40202
Phone (502) 584-2027

2355 Poplar Level Rd
Ste G1
Louisville, KY 40217
Phone (502) 636-8121

3 Audubon Plaza Dr
Ste 220
Louisville, KY 40217
Phone (502) 636-7242

3 Audubon Plaza Dr
Ste 310
Louisville, KY 40217
Phone (502) 375-0009

3 Audubon Plaza Dr
Ste 550
Louisville, KY 40217
Phone (502) 634-3805

3 Audubon Plaza Dr
Ste 560
Louisville, KY 40217
Phone (502) 636-8004

4420 Dixie Hwy
Ste 118
Louisville, KY 40216
Phone (502) 447-3448

4915 Norton Healthcare Blvd
Ste 202
Louisville, KY 40241

676 S Floyd St
Ste 200
Louisville, KY 40202
Phone (502) 629-2500

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

901 DuPont Rd
Ste 200
Louisville, KY 40207

300 High Point Ct
Ste B
Mt Washington, KY 40047
Phone (502) 955-6129

150 Frankfort Rd
Ste 102C
Shelbyville, KY 40065
Phone (502) 882-8414

Interoperability endpoints

  • Direct secure messaging: kgraham238602@direct.nortonhealthcare.org
  • Direct secure messaging: kgraham289545@ewd.direct.hshs.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1346653656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-559-9407",
            "fax_number": "502-272-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 AUDUBON PLAZA DR STE 560",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171376",
            "telephone_number": "502-636-8004",
            "fax_number": "502-636-8384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "KEVIN",
        "middle_name": "ALEXANDER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-04",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "KY",
            "license": "TP905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kgraham238602@direct.nortonhealthcare.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3 Audubon Plaza Dr Ste 560",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402171376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kgraham289545@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "619 E Mason St Ste 4P57",
            "city": "Springfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "627011034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.