Active NPI
Jeffrey M Graves, MD
- Internal Medicine Physician
- Richmond, VA
National Provider Identifier
1104864172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101034376
- Practice address
- 7001 Forest Ave
Suite 302
Richmond, VA 23230-1726 - Phone
- (804) 237-8282
- Fax
- (804) 672-4948
- NPI assigned
- Jun 3, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 20427 | WV | |
| Internal Medicine Physician | 207R00000X | 0101034376 | VA | Primary |
Addresses
Primary practice location
7001 Forest Ave
Suite 302
Richmond, VA 23230-1726
Mailing address
7001 Forest Ave
Suite 302
Richmond, VA 23230-1726
Phone (804) 237-8282
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00013537 | Other | RAILROAD MEDICARE | |
| P00013537 | Other | WV | RAILROAD PTAN |
| 000894844 | Other | WV | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120209000283 | VA | Practitioner - Internal Medicine | 3577640382 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101034376 | VA | MD | Internal Medicine Physician |
| 20427 | WV | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PMR Virginia Holding, LLC | Current | Accepting new patients | |
| Partner MD PC | Internal Medicine | Past | Accepting new patients |
Locations
1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760
524 Southpark Blvd
Colonial Hgts, VA 23834
Phone (804) 504-7980
6550 Hull St Rd
Richmond, VA 23224
Phone (804) 674-3425
Organizations & group practices 2
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.
-
- Specialist
- Miami Gardens, FL
- NPI 1083167001
-
- Internal Medicine Physician
- Richmond, VA
- NPI 1255409371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325548800000",
"number": "1104864172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7001 FOREST AVE",
"address_2": "SUITE 302",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232301726",
"telephone_number": "804-237-8282",
"fax_number": "804-672-4948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7001 FOREST AVE",
"address_2": "SUITE 302",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232301726",
"telephone_number": "804-237-8282",
"fax_number": "804-672-4948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAVES",
"first_name": "JEFFREY",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-03",
"last_updated": "2012-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WV",
"license": "20427",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101034376",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00013537",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD PTAN",
"identifier": "P00013537",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000894844",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.