Active NPI
Diana Granese, M.D.
- Obstetrics & Gynecology Physician
- Bowling Green, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 25009
- Practice address
- 720 2ND Ave
Suite 303
Bowling Green, KY 42101-1778 - Phone
- (270) 781-5111
- Fax
- (270) 780-0478
- NPI assigned
- Oct 4, 2005
- Last updated
- Jul 2, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 25009 | KY | Primary |
Addresses
Primary practice location
720 2ND Ave
Suite 303
Bowling Green, KY 42101-1778
Mailing address
720 2ND Ave
303
Bowling Green, KY 42101-1778
Phone (270) 781-5111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000049407 | Other | KY | BCBS |
| 64250095 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- State University of New York at Buffalo School of Medicine, 1982
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
201 Park St
Bowling Green, KY 42101-1759
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Graves Gilbert Clinic PLLC | Current | Accepting new patients | |
| Graves Gilbert Clinic PLLC | Current | Accepting new patients |
Locations
720 2nd Ave
Ste 303
Bowling Green, KY 42101
Phone (270) 843-5116
201 Park St
Bowling Green, KY 42101
Phone (270) 651-2229
Interoperability endpoints
- dianagranese@ggc.allscriptsdirect.net
Organizations & group practices 2
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.
-
dba GGC Rural Health Clinic Cave City
- Rural Health Clinic/Center
- Cave City, KY
- NPI 1104635663
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba The Medical Center
- General Acute Care Hospital
- Bowling Green, KY
- NPI 1043293608
-
dba The Medical Center at Russellville
- Rural Acute Care Hospital
- Russellville, KY
- NPI 1124868963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404259200000",
"number": "1518954676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 2ND AVE",
"address_2": "303",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421011778",
"telephone_number": "270-781-5111",
"fax_number": "270-780-0478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 2ND AVE",
"address_2": "SUITE 303",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421011778",
"telephone_number": "270-781-5111",
"fax_number": "270-780-0478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANESE",
"first_name": "DIANA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-04",
"last_updated": "2014-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "KY",
"license": "25009",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000049407",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64250095",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.