NPIMap

Individual provider Active NPI

George W Graves, MD

  • Internal Medicine Physician
  • Chevy Chase, MD
National Provider Identifier
1104919133
Registry record updated Jun 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0029353 Issued in MD
Practice address
5530 Wisconsin Avenue
Ste 1400
Chevy Chase, MD 20815-4404
Phone
(301) 656-9170
Fax
(301) 654-5893
NPI assigned
Oct 2, 2006
Last updated
Jun 17, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0029353 MD Primary

Addresses

Primary practice location

5530 Wisconsin Avenue
Ste 1400
Chevy Chase, MD 20815-4404

Mailing address

5530 Wisconsin Avenue
Ste 1400
Chevy Chase, MD 20815-4404
Phone (301) 656-9170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070514000616 DC Practitioner - Internal Medicine 8224135926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Georgetown University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Internal Medicine of Chevy Chase, P.a.Group PAC ID 5193998292, 4 clinicians

Practice addresses (Care Compare)

5530 Wisconsin Ave
Suite 1400
Chevy Chase, MD 20815-4302
Phone (301) 656-9170

6410 Rockledge Dr
Suite 600
Bethesda, MD 20817-1844

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.03 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
73.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0029353MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine of Chevy Chase, P.a. Internal Medicine CurrentSince Oct 28, 2011 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
DRS Nealon Foster & Graves CHTD Internal Medicine Past Accepting new patients

Locations

5530 Wisconsin Ave
Ste 1400
Chevy Chase, MD 20815
Phone (301) 656-9170

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276732800000",
    "number": "1104919133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVENUE",
            "address_2": "STE 1400",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154404",
            "telephone_number": "301-656-9170",
            "fax_number": "301-654-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVENUE",
            "address_2": "STE 1400",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154404",
            "telephone_number": "301-656-9170",
            "fax_number": "301-654-5893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "GEORGE",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2010-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0029353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

Verify at the official NPI Registry.