Individual provider Active NPI

Dorian L Gravenese, M.D.

  • Dermatology Physician
  • Scarsdale, NY
National Provider Identifier
1114936135
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
178986 Issued in NY
Practice address
259 Heathcote Rd
Scarsdale, NY 10583-4523
Phone
(914) 723-8100
Fax
(914) 219-1928
NPI assigned
Aug 7, 2006
Last updated
Feb 10, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 178986 NY Primary

Addresses

Primary practice location

259 Heathcote Rd
Scarsdale, NY 10583-4523

Mailing address

550 Mamaroneck Ave
Suite 302
Harrison, NY 10528-1634
Phone (914) 723-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20041021000875 NY Practitioner - Dermatology 3870554942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
State University of New York at Stony Brook, School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

550 Mamaoneck Ave
Harris, NY 10528
Phone (914) 723-8100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions541
Removal or shaving of skin growth66
Skin biopsy366

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
White Plains Physician Services PC Dermatology CurrentSince Jan 9, 2021 Accepting new patients
Resource Anesthesiology Associates,PC PastSince Mar 12, 2018 Accepting new patients
Schweiger Dermatology PLLC Dermatology PastSince Jan 1, 2017 Accepting new patients

Locations

550 Mamaroneck Ave
Harrison, NY 10528
Phone (914) 381-5000

550 Mamaroneck Ave
Ste 101
Harrison, NY 10528

550 Mamaroneck Ave
Ste 302
Harrison, NY 10528
Phone 9147238100 ext. 239

185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020

259 Heathcote Rd
Scarsdale, NY 10583
Phone (914) 328-8444

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: dlg2004@direct.weillcornell.org

Organizations & group practices 3

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 1

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455062400000",
    "number": "1114936135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 MAMARONECK AVE",
            "address_2": "SUITE 302",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105281634",
            "telephone_number": "914-723-8100",
            "fax_number": "914-219-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 HEATHCOTE RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105834523",
            "telephone_number": "914-723-8100",
            "fax_number": "914-219-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVENESE",
        "first_name": "DORIAN",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2016-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "178986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

Verify at the official NPI Registry.