Active NPI
Roy C Graves, M.D.
- Emergency Medicine Physician
- New Albany, IN
National Provider Identifier
1093804841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 01031398A
- Practice address
- 700 E Spring St
Suite 200
New Albany, IN 47150-2926 - Phone
- (812) 945-7536
- Fax
- (812) 945-7542
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01031398A | IN | Primary |
Addresses
Primary practice location
700 E Spring St
Suite 200
New Albany, IN 47150-2926
Mailing address
700 E Spring St
Suite 200
New Albany, IN 47150-2926
Phone (812) 945-7536
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100327900A | Medicaid | IN | |
| 100115990A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404950400000",
"number": "1093804841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 E SPRING ST",
"address_2": "SUITE 200",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471502926",
"telephone_number": "812-945-7536",
"fax_number": "812-945-7542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 E SPRING ST",
"address_2": "SUITE 200",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471502926",
"telephone_number": "812-945-7536",
"fax_number": "812-945-7542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAVES",
"first_name": "ROY",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2014-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01031398A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100327900A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100115990A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Albany, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.