Active NPI
Graham Dean Englund, M.D.
- Trauma Surgery Physician
- Campbellsville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- 43043
- Practice address
- 1698 Old Lebanon Rd
Suite 2a
Campbellsville, KY 42718-9662 - Phone
- (270) 789-0587
- NPI assigned
- Mar 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Trauma Surgery Physician | 2086S0127X | 43043 | KY | Primary |
Addresses
Primary practice location
1698 Old Lebanon Rd
Suite 2a
Campbellsville, KY 42718-9662
Mailing address
1698 Old Lebanon Rd
Suite 2a
Campbellsville, KY 42718-9662
Phone (270) 789-0587
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000634978 | Other | KY | ANTHEM BLUECROSS |
| 7100089320 | Medicaid | KY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | genglund40144@bhkydirect.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3900 Kresge Way
Louisville, KY 40207-4681
3950 Kresge Way
Louisville, KY 40207-4637
4002 Kresge Way
Suite 110
Louisville, KY 40207-4605
Phone (502) 928-8700
Hospital & facility affiliations
- Baptist Health Louisville
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 35 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 26 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 11 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43043 | KY | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Medical Associates Inc | Current | Accepting new patients | |
| Baptist Healthcare System Inc. | Past | Accepting new patients |
Locations
5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924
3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313
4000 Kresge Way
St Matthews, KY 40207
Phone (502) 459-7902
Organizations & group practices 3
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.
-
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- Neurology Physician
- Louisville, KY
- NPI 1386872471
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1265539498
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1265539498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607040000000",
"number": "1962528067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1698 OLD LEBANON RD",
"address_2": "SUITE 2A",
"city": "CAMPBELLSVILLE",
"state": "KY",
"postal_code": "427189662",
"telephone_number": "270-789-0587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1698 OLD LEBANON RD",
"address_2": "SUITE 2A",
"city": "CAMPBELLSVILLE",
"state": "KY",
"postal_code": "427189662",
"telephone_number": "270-789-0587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGLUND",
"first_name": "GRAHAM",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2020-12-04",
"certification_date": "2020-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "KY",
"license": "43043",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUECROSS",
"identifier": "000000634978",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100089320",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "genglund40144@bhkydirect.com",
"affiliation": "N",
"address_1": "4001 Kresge Way Ste 200",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402074640",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Campbellsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.