Individual provider Active NPI

Gregg A Malmquist, M.D.

  • Orthopaedic Surgery Physician
  • Bowling Green, KY
National Provider Identifier
1881697969
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
35342 Issued in KY
Practice address
165 Natchez Trace Ave
Bowling Green, KY 42103-7940
Phone
(270) 782-7800
Fax
(270) 843-0779
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 35342 KY Primary

Addresses

Primary practice location

165 Natchez Trace Ave
Bowling Green, KY 42103-7940

Mailing address

201 Park St
Bowling Green, KY 42101-1759
Phone (270) 782-7800

Other identifiers 1

IdentifierTypeStateIssuer
64017866MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100415000919 KY Practitioner - Orthopedic Surgery 9234219718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Texas Medical School at San Antonio, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Graves Gilbert Clinic PLLCGroup PAC ID 4082511167, 207 clinicians
Kentucky Orthopedic Rehabilitation LLCGroup PAC ID 0345157293, shared by 15 NPIs, 68 clinicians

Practice addresses (Care Compare)

165 Natchez Trace Ave
Bowling Green, KY 42103-7940
Phone (270) 782-7800

930 Jamestown St
Columbia, KY 42728-1012
Phone (270) 751-8730

Hospital & facility affiliations

  • Tristar Greenview Regional Hospital Hospital, Bowling Green, KY, CCN 180124
  • Monroe County Medical Center Hospital, Tompkinsville, KY, CCN 180105

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04813KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Graves Gilbert Clinic PLLC Orthopaedic Surgery CurrentSince Jul 28, 2016 Accepting new patients
Graves Gilbert Clinic PLLC CurrentSince Jul 28, 2016 Accepting new patients

Locations

201 Park St
Bowling Green, KY 42101
Phone (270) 651-2229

165 Natchez Trace Ave
Ste 100
Bowling Green, KY 42103
Phone (270) 782-7800

165 Natchez Trace Ave
Bowling Green, KY 42103
Phone (270) 782-7800

1777 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4090

1330 N Race St
Ste 1
Glasgow, KY 42141
Phone (270) 629-2780

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

Interoperability endpoints

  • Direct secure messaging: greggmalmquist@ggc.allscriptsdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1881697969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PARK ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011759",
            "telephone_number": "270-782-7800",
            "fax_number": "270-843-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 NATCHEZ TRACE AVE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421037940",
            "telephone_number": "270-782-7800",
            "fax_number": "270-843-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALMQUIST",
        "first_name": "GREGG",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "35342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64017866",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.