Individual provider Active NPI

Anastassia Grigorieva, M.D.

  • Anesthesiology Physician
  • Crestview Hills, KY
National Provider Identifier
1700069895
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
52099 Issued in KY
Practice address
340 Thomas More Pkwy Ste 220
Crestview Hills, KY 41017-5101
Phone
(859) 301-2211
Fax
(859) 301-2511
NPI assigned
Dec 11, 2007
Last updated
Jun 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 35.134847 OH
Anesthesiology Physician 207L00000X 52099 KY Primary

Addresses

Primary practice location

340 Thomas More Pkwy Ste 220
Crestview Hills, KY 41017-5101

Mailing address

340 Thomas More Pkwy Ste 220
Crestview Hills, KY 41017-5101
Phone (859) 301-2211

Other identifiers 1

IdentifierTypeStateIssuer
554415700MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 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
I20190116000189 KY Practitioner - Anesthesiology 5395923734 Reassigns benefits to 1 organization
I20200428001534 OH Practitioner - Anesthesiology 5395923734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Ohio State University College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Group Practice IncGroup PAC ID 1254245137, 396 clinicians

Practice addresses (Care Compare)

1 Medical Village Dr
Edgewood, KY 41017-3403
Phone (859) 301-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52099KYMDAnesthesiology Physician
35.134847OHMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Group Practice, Inc Anesthesiology CurrentSince Feb 4, 2019 Accepting new patients
Kentucky Rehabilitation Services Inc Past Accepting new patients

Locations

1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000

10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206

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.

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": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1700069895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 THOMAS MORE PKWY STE 220",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410175101",
            "telephone_number": "859-301-2211",
            "fax_number": "859-301-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 THOMAS MORE PKWY STE 220",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410175101",
            "telephone_number": "859-301-2211",
            "fax_number": "859-301-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGORIEVA",
        "first_name": "ANASTASSIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-11",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35.134847",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KY",
            "license": "52099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "554415700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview Hills, KY

Sources for this page

Verify at the official NPI Registry.