Active NPI
Geoffrey M Graeber, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Worcester, MA
National Provider Identifier
1154415875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 238601
- Practice address
- 67 Belmont St
Division of Thoracic Surgery
Worcester, MA 01605-2657 - Phone
- (508) 334-8996
- Fax
- (508) 334-6296
- NPI assigned
- Oct 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 238601 | MA | Primary |
Addresses
Primary practice location
67 Belmont St
Division of Thoracic Surgery
Worcester, MA 01605-2657
Mailing address
PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040004483 | Other | WV | RAILROAD MEDICARE |
| 0128931000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Virginia University Medical Corporation | Past | Accepting new patients | |
| Morgantown Pulmonary Associates PC | Past | Accepting new patients |
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.
-
- Pulmonary Disease Physician
- Morgantown, WV
- NPI 1245200989
-
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320278400000",
"number": "1154415875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 415348",
"city": "BOSTON",
"state": "MA",
"postal_code": "022415348",
"telephone_number": "800-225-8885",
"fax_number": "508-334-1977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 BELMONT ST",
"address_2": "DIVISION OF THORACIC SURGERY",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016052657",
"telephone_number": "508-334-8996",
"fax_number": "508-334-6296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAEBER",
"first_name": "GEOFFREY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2011-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "MA",
"license": "238601",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "040004483",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0128931000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.