NPIMap

Individual provider Active NPI

Grover C. Dils, M.D.

  • Internal Medicine Physician
  • Scottsville, KY
National Provider Identifier
1720044191
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
30818 Issued in KY
Practice address
466 Burnley Rd
Scottsville, KY 42164-6355
Phone
(270) 618-3700
Fax
(270) 618-3772
NPI assigned
Apr 25, 2006
Last updated
Jun 8, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 30818 KY Primary
Emergency Medicine Physician 207P00000X 30818 KY

Addresses

Primary practice location

466 Burnley Rd
Scottsville, KY 42164-6355

Mailing address

PO Box 3560
Bowling Green, KY 42102-3560
Phone (270) 618-3700

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
I20040316000009 KY Practitioner - Internal MedicinePractitioner - Emergency Medicine 1759271752 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
University of Nevada School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

427 US 31W Byp
Suite 204
Bowling Green, KY 42101-1703
Phone (270) 721-7166

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physician Services PC Internal Medicine CurrentSince Nov 17, 2020 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Jan 1, 2008 Accepting new patients
Commonwealth Health Corporation, Inc CurrentSince Oct 1, 2011 Accepting new patients
Commonwealth Health Corporation, Inc Current Accepting new patients
The Medical Center at Franklin ER Physicians Emergency Medicine Past Accepting new patients
Commonwealth Health Corporation Past Accepting new patients
Hospital Care Consultants Region II Inc Internal Medicine Past Accepting new patients

Locations

250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000

427 US 31W Byp
Ste 204
Bowling Green, KY 42101
Phone (270) 721-7166

825 2nd Ave
Ste C3
Bowling Green, KY 42101
Phone (270) 780-2660

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

1100 Brookhaven Rd
Franklin, KY 42134
Phone (270) 586-3253

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

456 Burnley Rd
Scottsville, KY 42164
Phone (270) 622-2800

Organizations & group practices 7

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 6

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465344000000",
    "number": "1720044191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3560",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421023560",
            "telephone_number": "270-618-3700",
            "fax_number": "270-618-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 BURNLEY RD",
            "city": "SCOTTSVILLE",
            "state": "KY",
            "postal_code": "421646355",
            "telephone_number": "270-618-3700",
            "fax_number": "270-618-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILS",
        "first_name": "GROVER",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2016-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "30818",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "30818",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsville, KY

Sources for this page

Verify at the official NPI Registry.