Individual provider Active NPI

Anthony Leonard Grzeda, MD

  • Vascular Surgery Physician
  • Louisville, KY
National Provider Identifier
1356845838
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
01096409A Issued in IN
Practice address
4003 Kresge Way Ste 300
Louisville, KY 40207-4652
Phone
(502) 897-5139
Fax
(502) 896-6218
NPI assigned
Mar 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2023-00238 NC
Vascular Surgery Physician 2086S0129X 01096409A IN Primary

Addresses

Primary practice location

4003 Kresge Way Ste 300
Louisville, KY 40207-4652

Mailing address

1901 Campus PL
Louisville, KY 40299-2308
Phone (502) 253-5924

Other practice location 1

4057 Burnett-Womack Bldg Cb#7050
Chapel Hill, NC 27599-1675
Phone (919) 843-6188

Other identifiers 1

IdentifierTypeStateIssuer
7100603510MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250625004234 IN Practitioner - Vascular Surgery 6406184787 Reassigns benefits to 1 organization
I20250702003952 KY Practitioner - Vascular Surgery 6406184787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, shared by 31 NPIs, 2,431 clinicians

Practice addresses (Care Compare)

1919 State St
Suite 200
New Albany, IN 47150-6804
Phone (502) 897-5139

4003 Kresge Way
Suite 300
Louisville, KY 40207-4652
Phone (502) 897-5139

Hospital & facility affiliations

  • Baptist Health Louisville Hospital, Louisville, KY, CCN 180130
  • Baptist Health Floyd Hospital, New Albany, IN, CCN 150044
  • Baptist Health Lagrange Hospital, La Grange, KY, CCN 180138

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)20
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2023-00238NCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group, Inc. CurrentSince Jun 19, 2025 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jun 1, 2025 Accepting new patients
Baptist Health Medical Group Inc Surgery CurrentSince Jun 1, 2025 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
Baptist Healthcare System Inc. Past Accepting new patients

Locations

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

1919 State St
Ste 200
New Albany, IN 47150
Phone (502) 897-5139

1901 Campus Pl
Louisville, KY 40299
Phone (502) 253-4911

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

4003 Kresge Way
Ste 300
St Matthews, KY 40207
Phone (502) 893-7710

4000 Kresge Way
St Matthews, KY 40207
Phone (502) 459-7902

Interoperability endpoints

  • Direct secure messaging: agrzeda1037875@direct.unc.nchie.net

Organizations & group practices 5

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 3

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": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1356845838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 CAMPUS PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992308",
            "telephone_number": "502-253-5924",
            "fax_number": "502-489-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4003 KRESGE WAY STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074652",
            "telephone_number": "502-897-5139",
            "fax_number": "502-896-6218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4057 Burnett-Womack Bldg Cb#7050",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275991675",
            "country_code": "US",
            "telephone_number": "919-843-6188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRZEDA",
        "first_name": "ANTHONY",
        "middle_name": "LEONARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-20",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2023-00238",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "IN",
            "license": "01096409A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100603510",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.