Individual provider Active NPI

Tyler Grant, D.O.

  • Surgery Physician
  • Ashland, KY
National Provider Identifier
1902221823
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
04400 Issued in KY
Practice address
613 23Rd St Ste 340
Ashland, KY 41101-2879
Phone
(606) 329-2888
Fax
(606) 329-2890
NPI assigned
Feb 28, 2014
Last updated
Dec 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 34.013095 OH
Surgery Physician 208600000X 04400 KY Primary

Addresses

Primary practice location

613 23Rd St Ste 340
Ashland, KY 41101-2879

Mailing address

PO Box 2379
Ashland, KY 41105-2379
Phone (606) 408-6200

Other practice location 1

1729 Kinneys Ln Ste 201
Portsmouth, OH 45662-3167
Phone (740) 353-8100

Other practice location 2

8750 Ohio River Rd
Wheelersburg, OH 45694-1918
Phone (740) 574-9301

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tgrant72855@direct.kdhealth.us Direct

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
I20190812001425 KY Practitioner - General Surgery 0547526659 Reassigns benefits to 1 organization
I20210218001434 OH Practitioner - General Surgery 0547526659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Kentucky College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kings Daughters Medical Specialties IncGroup PAC ID 6103968029, shared by 2 NPIs, 397 clinicians

Practice addresses (Care Compare)

14395 State Route 93
Jackson, OH 45640-9798
Phone (606) 324-2600

613 23Rd St
Suite 440
Ashland, KY 41101-2885
Phone (606) 329-2888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.04 of 100Reported as group
Quality
60.55
Promoting interoperability
100
Improvement activities
40
Cost
78.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)21
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision29
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04400KYMDSurgery Physician
34.013095OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Daughters Medical Specialties Inc Surgery CurrentSince May 1, 2020 Accepting new patients
Kings Daughters Medical Specialties Inc Current Accepting new patients
Kings Daughters Medical Specialties Inc., CurrentSince Jan 1, 2021 Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince May 1, 2020 Accepting new patients
Kings Daughters Medical Specialties Inc Current Accepting new patients
Ashland Hospital Corporation Past Accepting new patients
Kings Daughters Medical Specialties Inc Surgery Past Accepting new patients

Locations

2001 Winchester Ave
Ashland, KY 41101
Phone (606) 324-3444

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

613 23rd St
Ste 340
Ashland, KY 41101
Phone (606) 326-1101

613 23rd St
Ste 440
Ashland, KY 41101
Phone (606) 329-2888

617 23rd St
Ste 19
Ashland, KY 41101
Phone (606) 325-2221

1729 Kinneys Ln
Ste 201
Portsmouth, OH 45662
Phone (740) 353-8100

1242 Crescent Dr
Wheelersburg, OH 45694
Phone (740) 574-8441

8750 Ohio River Rd
Wheelersburg, OH 45694
Phone (740) 351-0980

Interoperability endpoints

  • Direct secure messaging: tgrant72855@direct.kdhealth.us

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 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": "1393545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1902221823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2379",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411052379",
            "telephone_number": "606-408-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 23RD ST STE 340",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012879",
            "telephone_number": "606-329-2888",
            "fax_number": "606-329-2890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1729 Kinneys Ln Ste 201",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "OH",
            "postal_code": "456623167",
            "country_code": "US",
            "telephone_number": "740-353-8100",
            "fax_number": "740-353-8908",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8750 Ohio River Rd",
            "address_purpose": "LOCATION",
            "city": "Wheelersburg",
            "state": "OH",
            "postal_code": "456941918",
            "country_code": "US",
            "telephone_number": "740-574-9301",
            "fax_number": "740-574-1651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANT",
        "first_name": "TYLER",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-28",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "34.013095",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "04400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tgrant72855@direct.kdhealth.us",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "TXT",
            "address_1": "613 23rd St Ste 440",
            "city": "Ashland",
            "state": "KY",
            "country_code": "US",
            "postal_code": "411012885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.