NPIMap

Individual provider Active NPI

Alecia Ellen Graves, MD

  • Obstetrics & Gynecology Physician
  • Louisville, KY
National Provider Identifier
1497749477
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
31847 Issued in KY
Practice address
4123 Dutchmans Lane
Suite 507
Louisville, KY 40207-4730
Phone
(502) 423-9595
Fax
(502) 719-0161
NPI assigned
Sep 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 31847 KY Primary

Addresses

Primary practice location

4123 Dutchmans Lane
Suite 507
Louisville, KY 40207-4730

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other identifiers 11

IdentifierTypeStateIssuer
000057120POtherKYHUMANA - WS
5002880OtherKYMEDICAID PASSPORT
65925109OtherKYMEDICAID GRP
8382591OtherKYCIGNA-WS
000000724240OtherKYANTHEM - WS
1166219OtherKYGROUP MEDICAID PASSPORT
50034482OtherKYPASSPORT - WS
1052052OtherKYPASSPORT
127014OtherKYSIHO - WS
5581OtherKYMEDICARE GRP
64318470MedicaidKY

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicsoap.nortonhealthcare.org/
Direct Messaging Address agraves15623@direct.nortonhealthcare.org

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
I20101228000625 KY Practitioner - Obstetrics/Gynecology 0345305371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Louisville School of Medicine, 1992
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)

4915 Norton Healthcare Blvd
Suite 103
Louisville, KY 40241-2832
Phone (502) 446-6635

4955 Norton Healthcare Blvd
FL 2
Louisville, KY 40241-2832
Phone (502) 394-6350

825 Barret Ave
Louisville, KY 40204-1743
Phone (502) 272-5165

Hospital & facility affiliations

  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31847KYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Aug 1, 2011 Accepting new patients
Community Medical Associates, Inc. Obstetrics & Gynecology CurrentSince Aug 1, 2011 Accepting new patients
Norton Hospitals, Inc Past Accepting new patients

Locations

4123 Dutchmans Ln
Ste 601
Louisville, KY 40207
Phone (502) 423-9595

4123 Dutchmans Ln
Ste 507
Louisville, KY 40207
Phone (502) 259-3250

4915 Norton Healthcare Blvd
Ste 203
Louisville, KY 40241
Phone (502) 423-9595

9880 Angies Way
Ste 350
Louisville, KY 40241
Phone (502) 423-9595

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

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

Interoperability endpoints

  • Direct secure messaging: agraves15623@direct.nortonhealthcare.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 and National Provider Directory roles.

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": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1497749477",
    "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": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4123 DUTCHMANS LANE",
            "address_2": "SUITE 507",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074730",
            "telephone_number": "502-423-9595",
            "fax_number": "502-719-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "ALECIA",
        "middle_name": "ELLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-07",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "31847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA - WS",
            "identifier": "000057120P",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PASSPORT",
            "identifier": "5002880",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GRP",
            "identifier": "65925109",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA-WS",
            "identifier": "8382591",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM - WS",
            "identifier": "000000724240",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID PASSPORT",
            "identifier": "1166219",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT - WS",
            "identifier": "50034482",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "1052052",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO - WS",
            "identifier": "127014",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GRP",
            "identifier": "5581",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64318470",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/",
            "affiliation": "N",
            "address_1": "4123 Dutchmans Lane",
            "address_2": "Suite 507",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402074730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agraves15623@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "4123 Dutchmans Lane",
            "address_2": "Suite 507",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402074730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.