William P. Grabenstein, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD017935 Issued in TN

Practice address

1822 Memorial Dr
Clarksville, TN 37043-4605

Phone

(931) 552-8012

Fax

(931) 551-3118

NPI assigned

Jun 29, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Family Practice

Education

University of Tennessee, HSC, College of Medicine, 1985

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Home health agency, Brentwood, TN, CCN 447107
• Suncrest Home Health Home health agency, Clarksville, TN, CCN 447298
• Vanderbilt Clarksville Hospital Hospital, Clarksville, TN, CCN 440035
• Ascension Saint Thomas Hospital Hospital, Nashville, TN, CCN 440082

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: william.grabenstein.1@25047.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/7654/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/1879/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/4694/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/CBFIAA

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.

• Grabenstein Family Practice

  • Family Medicine Physician
  • Clarksville, TN
  • NPI 1891861274
  Medicare reassignment NPD Authorized official
• St. Thomas Medical Group PLLC

  • Internal Medicine Physician
  • Nashville, TN
  • NPI 1467472258
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys Tennessee, LLC

  • Home Health Agency
  • Brentwood, TN
  • NPI 1972551794
  Care Compare affiliation
• Clarksville Health System, LLC

  • General Acute Care Hospital
  • Clarksville, TN
  • NPI 1285689794
  Care Compare affiliation
• Clarksville Home Care Services LLC

  • Home Health Agency
  • Clarksville, TN
  • NPI 1427003607
  Care Compare affiliation
• Saint Thomas West Hospital

  • General Acute Care Hospital
  • Nashville, TN
  • NPI 1629025648
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1003013160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 MEMORIAL DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434605",
            "telephone_number": "931-552-8012",
            "fax_number": "931-551-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 MEMORIAL DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434605",
            "telephone_number": "931-552-8012",
            "fax_number": "931-551-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABENSTEIN",
        "first_name": "WILLIAM",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD017935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "3728817",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4102307",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3728817",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laporsha C Gordon
• Mallory Gordon
• Karissa Lynn Goula
• GPS: Sango Family Dentistry, PLLC
• Grabenstein Family Practice
• Grace and Growth Counseling, LLC
• Grace Dental PLLC
• Sarah Beth Grace, FNP
• Jaqueline Gracia
• Grackle Emergency Physicians, LLC

• Family Medicine Physician in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.

Verify at the official NPI Registry.