NPIMap

Individual provider Active NPI

Kristina Vladimirovna Grabova, PA-C

  • Physician Assistant
  • Louisville, KY
National Provider Identifier
1619791043
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA3533 Issued in KY
Practice address
201 Abraham Flexner Way Ste 1200
Louisville, KY 40202-3841
Phone
(502) 588-7600
NPI assigned
Nov 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA3533 KY Primary

Addresses

Primary practice location

201 Abraham Flexner Way Ste 1200
Louisville, KY 40202-3841

Mailing address

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

Other practice location 1

2355 Poplar Level Rd # G1
Louisville, KY 40217-1395
Phone (502) 636-8330

Other practice location 2

2355 Poplar Level Rd Ste G1
Louisville, KY 40217-1395
Phone (502) 636-8004

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
I20241205001641 KY Practitioner - Physician Assistant 2466988126 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

571 S Floyd St
Louisville, KY 40202-3818
Phone (502) 629-2398

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc CurrentSince Sep 1, 2025 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Community Medical Associates, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Community Medical Associates, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Community Medical Associates, Inc. Physician Assistant Past Accepting new patients
University of Louisville Physicians, Inc. Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

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

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

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

3999 Dutchmans Ln
Ste 1H
Louisville, KY 40207
Phone (502) 636-7472

200 Abraham Flexner Way
Louisville, KY 40202
Phone (502) 569-7983

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

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

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

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

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

201 Abraham Flexner Way
Ste 1200
Louisville, KY 40202
Phone (502) 583-8383

901 DuPont Rd
Ste 200
Louisville, KY 40207

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

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

Interoperability endpoints

  • Direct secure messaging: kgrabova280715@direct.nortonhealthcare.org

Organizations & group practices 8

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 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1619791043",
    "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": "201 ABRAHAM FLEXNER WAY STE 1200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023841",
            "telephone_number": "502-588-7600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2355 Poplar Level Rd # G1",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402171395",
            "country_code": "US",
            "telephone_number": "502-636-8330",
            "fax_number": "502-636-8384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2355 Poplar Level Rd Ste G1",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402171395",
            "country_code": "US",
            "telephone_number": "502-636-8004",
            "fax_number": "502-636-8384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRABOVA",
        "first_name": "KRISTINA",
        "middle_name": "VLADIMIROVNA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-12",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA3533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.