Active NPI
Jeremy H Graf, MD
- Emergency Medicine Physician
- Olney, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- D0058770
- Practice address
- 18101 Prince Philip Dr
Olney, MD 20832-1514 - Phone
- (301) 774-8900
- Fax
- (301) 570-8574
- NPI assigned
- Nov 2, 2005
- 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 | D0058770 | MD | Primary |
Addresses
Primary practice location
18101 Prince Philip Dr
Olney, MD 20832-1514
Mailing address
1300 Piccard Dr
Ste 202
Rockville, MD 20850-4303
Phone (301) 921-7900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 406008300 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040414001585 | MD | Practitioner - Emergency Medicine | 2668466251 | Reassigns benefits to 1 organization |
| I20111028000031 | DC | Practitioner - Internal Medicine | 2668466251 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0058770 | MD | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alexandria Springfield Emergency Physicians PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Associates P.a., P.C. | Emergency Medicine | Current | Accepting new patients |
| Alexandria Springfield Emergency Physicians PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Associates P.a., P.C. | Current | Accepting new patients | |
| Alexandria Springfield Emergency Physicians PC | Emergency Medicine | Current | Accepting new patients |
| Mid-Atlantic Critical Care Services,L.L.C. | Past | Accepting new patients |
Locations
20010 Century Blvd
Ste 200
Germantown, MD 20874
18101 Prince Philip Dr
Olney, MD 20832
Phone (301) 774-8618
200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000
4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000
1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Franklin, VA
- NPI 1740529700
DC, Emergency Medicine
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1134117393
DC, Emergency Medicine, MD
-
- Emergency Medicine Physician
- Alexandria, VA
- NPI 1285454900
Emergency Medicine
-
- Emergency Medicine Physician
- Alexandria, VA
- NPI 1720839764
Emergency Medicine
-
- Internal Medicine Physician
- Culpeper, VA
- NPI 1881559102
-
- Critical Care Medicine (Internal Medicine) Physician
- Takoma Park, MD
- NPI 1164455853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543795200000",
"number": "1104817873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 PICCARD DR",
"address_2": "STE 202",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208504303",
"telephone_number": "301-921-7900",
"fax_number": "301-921-7915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18101 PRINCE PHILIP DR",
"city": "OLNEY",
"state": "MD",
"postal_code": "208321514",
"telephone_number": "301-774-8900",
"fax_number": "301-570-8574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAF",
"first_name": "JEREMY",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2018-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MD",
"license": "D0058770",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "406008300",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Olney, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.