Individual provider Active NPI

Jennifer Ann Grady, MD

  • Otolaryngology Physician
  • Louisville, KY
National Provider Identifier
1760682769
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
59188 Issued in KY
Practice address
2944 Breckenridge LN
Louisville, KY 40220-1409
Phone
(502) 893-0159
Fax
(502) 213-3853
NPI assigned
Jul 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 59188 KY Primary

Addresses

Primary practice location

2944 Breckenridge LN
Louisville, KY 40220-1409

Mailing address

2944 Breckenridge LN
Louisville, KY 40220-1409
Phone (502) 893-0159

Other practice location 1

1725 Gagel Ave
Louisville, KY 40216-2763
Phone (502) 893-0159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, KY, NC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20141030000762 SC Practitioner - Otolaryngology 4183812605
I20240425001445 KY Practitioner - Otolaryngology 4183812605 Reassigns benefits to 1 organization
I20250909002399 NC Practitioner - Otolaryngology 4183812605 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Louisville School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

1010 Tryon Village Dr
Suite 701
Cary, NC 27518-7193
Phone (919) 684-8111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.34 of 100Reported as group
Quality
89.81
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Health Integrated Practice, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Duke University Health System, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Merit Anesthesia PLLC CurrentSince Jul 1, 2024 Accepting new patients
Advanced ENT and Allergy PLLC Otolaryngology CurrentSince May 1, 2024 Accepting new patients
Duke University Health System, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Duke Health Integrated Practice, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Duke University Health System, Inc. Current Accepting new patients
North Carolina Eye Ear Nose & Throat PA Otolaryngology PastSince Jun 16, 2006 Accepting new patients
Private Diagnostic Clinic, PLLC Otolaryngology Past Accepting new patients

Locations

108 W Daisy Ln
New Albany, IN 47150
Phone (812) 945-3557

2944 Breckenridge Ln
Louisville, KY 40220
Phone (502) 995-5525

1725 Gagel Ave
Louisville, KY 40216
Phone (502) 995-5525

1010 Tryon Village Dr
#701
Cary, NC 27518

1838 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 442-2506

5726 Fayetteville Rd
Ste 102
Durham, NC 27713
Phone (919) 682-9341

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

4102 N Roxboro St
Durham, NC 27704
Phone (919) 595-2000

3916 Ben Franklin Blvd
Durham, NC 27704
Phone (919) 956-9300

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

3400 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 954-3000

Interoperability endpoints

  • Direct secure messaging: jgrady663569@direct.medicine.duke.edu

Organizations & group practices 9

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 8

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": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1760682769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2944 BRECKENRIDGE LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201409",
            "telephone_number": "502-893-0159",
            "fax_number": "502-213-3853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2944 BRECKENRIDGE LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201409",
            "telephone_number": "502-893-0159",
            "fax_number": "502-213-3853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1725 Gagel Ave",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402162763",
            "country_code": "US",
            "telephone_number": "502-893-0159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRADY",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KY",
            "license": "59188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.