Grover C. Dils, M.D.
Individual provider Active NPI Internal Medicine Physician · Scottsville, KY
NPI 1720044191 · NPPES record last updated Jun 8, 2016
Key facts
- NPI
- 1720044191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 30818 (KY)
- Practice address
- 466 Burnley Rd
Scottsville, KY 42164-6355 - Phone
- (270) 618-3700
- Fax
- (270) 618-3772
- NPI assigned
- Apr 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Nevada School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Commonwealth Health Corporation, Inc.
Practice addresses (Care Compare)
427 US 31W Byp
Suite 204
Bowling Green, KY 42101-1703
Phone (270) 721-7166
Hospital & facility affiliations
- Lifeline Home Health
- Family Home Health Care, LLC Dba Adoration Home Health
- The Medical Center Home Care Program
- The Medical Center (Bowling Green)
- The Medical Center at Scottsville
- The Medical Center at Franklin
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040316000009 | KY | Practitioner - Internal Medicine |
1759271752 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30818 | KY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current |
Accepting new patients |
| Southeastern Physician Services PC | Internal Medicine | Current |
Accepting new patients |
| Commonwealth Health Corporation, Inc | Current | Accepting new patients | |
| Commonwealth Health Corporation, Inc | Current |
Accepting new patients | |
| Commonwealth Health Corporation | Past | Accepting new patients | |
| Hospital Care Consultants Region II Inc | Internal Medicine | Past | Accepting new patients |
| The Medical Center at Franklin ER Physicians | Emergency Medicine | Past | Accepting new patients |
Locations
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
250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 30818 | KY | Yes |
| 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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64308182 | Medicaid | KY |
Other providers in Scottsville, KY
- Cumberland Foot and Ankle Centers
- Brandi Davidson
- Ann Marie Davis
- Victor De la Paz
- Jordan Beth Dillard
- Taylor Jordan Dotson
- Angel Faye Duncan
- Frank L Duncan
- Courtney Eden
- Ashley Brooke Cole Embry
All providers in Scottsville, KY · Internal Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.