NPI Details
Edward Allan Grimball, MD is an internal medicine in Somerset, KY. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Edward Allan Grimball, MD NPI is 1144211541. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
402 BOGLE ST
STE 3
SOMERSET, KY
ZIP 42503-870
Phone: (606) 451-9953
Fax: (606) 451-1533
The NPI 1144211541 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Emergency department visit for life threatening or functioning severity (HCPCS:99285)
- Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
- Emergency department visit for problem of high severity (HCPCS:99284)
- Critical care, first 30-74 minutes (HCPCS:99291)
- Emergency department visit for problem of moderate severity (HCPCS:99283)
- Critical care, each additional 30 minutes (HCPCS:99292)
The enumeration date for this NPI number is 11/3/2005 and was last updated on 4/9/2015.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207P00000X | Emergency Medicine | | 29702 | KENTUCKY | No |
| 2 | 207R00000X | Internal Medicine | | 29702 | KENTUCKY | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | F67443 | MEDICARE UPIN | KENTUCKY | |
| 2 | 1101698818 | OTHER | KENTUCKY | MEDICARE RAILROAD |
| 3 | 37J8 | OTHER | KENTUCKY | ANTHEM |
| 4 | 611350780 | OTHER | KENTUCKY | FEDERAL TAX ID |
| 5 | 0620801 | MEDICARE ID-TYPE UNSPECIFIED | KENTUCKY | |
| 6 | 64297021 | MEDICAID | KENTUCKY | |
| 7 | 1181211 | OTHER | KENTUCKY | CHA |
| 8 | 04-906 | OTHER | KENTUCKY | UNITED HEALTHCARE |
| 9 | 5169150 | OTHER | KENTUCKY | CCN/AETNA |
| 10 | 000000075035 | OTHER | KENTUCKY | ANTHEM |
