Individual provider Active NPI

Robert A Graor, MD

  • Cardiovascular Disease Physician
  • Las Cruces, NM
National Provider Identifier
1114926409
Registry record updated Sep 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
98-63 Issued in NM
Practice address
3865 East Lohman
Suite 4
Las Cruces, NM 88011-8292
Phone
(575) 532-5838
Fax
(575) 532-1778
NPI assigned
Jul 19, 2005
Reactivated
Mar 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 98-63 NM Primary

Addresses

Primary practice location

3865 East Lohman
Suite 4
Las Cruces, NM 88011-8292

Mailing address

3865 East Lohman
Suite 4
Las Cruces, NM 88011-8292
Phone (575) 532-5838

Other identifiers 2

IdentifierTypeStateIssuer
07230885MedicaidNM
700521080OtherNMMEDICARE GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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

Enrollment IDStateProvider typePAC IDDetails
I20060223000252 NM Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Peripheral Vascular Disease 2365335338 Reassigns benefits to 2 organizations
Practice locations: Deming, NM; Las Cruces, NM

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Peripheral Vascular Disease
Education
R Franklin University of Med & Sci/Chicago Medical School, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Three Crosses Regional Hospital LLC 62 clinicians
Otero County Hospital Association 245 clinicians

Practice addresses (Care Compare)

2550 Samaritan Dr
Las Cruces, NM 88001-1170
Phone (800) 421-8274

2560 Samaritan Dr
Las Cruces, NM 88001-1170
Phone (575) 800-3868

2669 Scenic Dr
Alamogordo, NM 88310-8700
Phone (505) 439-6100

Hospital & facility affiliations

  • Three Crosses Regional Hospital LLC Hospital, Las Cruces, NM, CCN 320091
  • Mountain View Regional Medical Center Hospital, Las Cruces, NM, CCN 320085
  • Christus Southern New Mexico Hospital, Alamogordo, NM, CCN 320004
  • Memorial Medical Center Hospital, Las Cruces, NM, CCN 320018
  • Sierra Vista Hospital Hospital, T Or C, NM, CCN 321300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting91
Pacemaker insertion or repair73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
98-63NMMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Otero County Hospital Association CurrentSince Sep 6, 2017 Accepting new patients
Southwest Ultrasound Services LLC CurrentSince Aug 25, 2015 Accepting new patients
Three Crosses Regional Hospital LLC CurrentSince Jul 19, 2021 Accepting new patients
Otero County Hospital Association CurrentSince Sep 6, 2017 Accepting new patients
Three Crosses Regional Hospital LLC Past Accepting new patients

Locations

2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100

1110 W Florida St
Deming, NM 88030
Phone (505) 546-4811

141 N Roadrunner Pkwy
Ste 137
Las Cruces, NM 88011
Phone (575) 222-1974

2560 Samaritan Dr
Ste 121
Las Cruces, NM 88001

3865 E Lohman Ave
Ste 4
Las Cruces, NM 88011
Phone (575) 259-3537

2550 Samaritan Dr
Las Cruces, NM 88001
Phone (575) 522-7247

2560 Samaritan Dr
Las Cruces, NM 88001
Phone (575) 800-3868

Interoperability endpoints

  • Direct secure messaging: rgraor@swhpc.direct.gemmsnet.com
  • Direct secure messaging: robert.graor.1@6965.direct.athenahealth.com

Organizations & group practices 5

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.

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410134400000",
    "number": "1114926409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3865 EAST LOHMAN",
            "address_2": "SUITE 4",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118292",
            "telephone_number": "575-532-5838",
            "fax_number": "575-532-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3865 EAST LOHMAN",
            "address_2": "SUITE 4",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118292",
            "telephone_number": "575-532-5838",
            "fax_number": "575-532-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAOR",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2014-09-08",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NM",
            "license": "98-63",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07230885",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "700521080",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.