Individual provider Active NPI

Andersen Irvin Grigg, DO

  • Diagnostic Radiology Physician
  • Lexington, KY
National Provider Identifier
1437467354
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
R1686 Issued in KY
Practice address
University of Kentucky and Affiliates
800 Rose St.
Lexington, KY 40536-0001
Phone
(859) 332-5000
NPI assigned
Sep 14, 2010
Last updated
Sep 14, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X R1686 KY Primary

Addresses

Primary practice location

University of Kentucky and Affiliates
800 Rose St.
Lexington, KY 40536-0001

Mailing address

791 Tyrus CT
Lexington, KY 40515-5541
Phone (859) 523-5274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20130613000291 WA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 8123267648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Mid West Medical College, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kennewick Radiology Group PCGroup PAC ID 9335230549, 34 clinicians

Practice addresses (Care Compare)

3730 Plaza Way
Kennewick, WA 99338-2718
Phone (509) 221-5441

3810 Plaza Way
Kennewick, WA 99338-2722
Phone (509) 221-7000

520 N 4TH Ave
Pasco, WA 99301-5257
Phone (509) 547-7704

5304 Rd
Suite 68
Pasco, WA 99301-8078
Phone (509) 543-9300

7425 Wrigley Dr
Suite 102
Pasco, WA 99301-5292
Phone (509) 543-7583

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R1686KYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kennewick Radiology Group PC Diagnostic Radiology CurrentSince Jun 1, 2013 Accepting new patients

Locations

3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000

Organizations & group practices 1

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 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": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1437467354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 TYRUS CT",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405155541",
            "telephone_number": "859-523-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF KENTUCKY AND AFFILIATES",
            "address_2": "800 ROSE ST.",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360001",
            "telephone_number": "859-332-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGG",
        "first_name": "ANDERSEN",
        "middle_name": "IRVIN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "R1686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.