Individual provider Active NPI

Mateusz J Graca, MD

  • Interventional Pain Medicine Physician
  • Ft Lauderdale, FL
National Provider Identifier
1154982502
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME161251 Issued in FL
Practice address
6000 N Federal Hwy
Ft Lauderdale, FL 33308-2226
Phone
(954) 771-2551
Fax
(954) 492-3830
NPI assigned
Jun 26, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME161251 FL
Pain Medicine (Anesthesiology) Physician 207LP2900X ME161251 FL
Pain Medicine Physician 208VP0000X ME161251 FL
Interventional Pain Medicine Physician 208VP0014X ME161251 FL Primary

Addresses

Primary practice location

6000 N Federal Hwy
Ft Lauderdale, FL 33308-2226

Mailing address

6000 N Federal Hwy
Ft Lauderdale, FL 33308-2226
Phone (954) 771-2551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230412000509 FL Practitioner - Anesthesiology 4082940127 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Saint Louis University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians
Rehabclinics Pta IncGroup PAC ID 0547237497, shared by 11 NPIs, 209 clinicians
Anesthesia Pain Care Consultants LLCGroup PAC ID 6608780937, 10 clinicians

Practice addresses (Care Compare)

1611 NW 12 Ave
Miami, FL 33136-1005
Phone (305) 689-8648

1817 E Commercial Blvd
Ft Lauderdale, FL 33308-3767
Phone (954) 836-8980

6000 N Federal Hwy
Ft Lauderdale, FL 33308-2226
Phone (954) 771-2551

Hospital & facility affiliations

  • Holy Cross Hospital Hospital, Ft Lauderdale, FL, CCN 100073
  • Univ of Miami Hospital and Clinics-Sylvester Compr Hospital, Miami, FL, CCN 100079

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
78.79
Promoting interoperability
100
Improvement activities
40
Cost
71.44

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Current Accepting new patients
University of Miami CurrentSince May 1, 2023 Accepting new patients
University of Miami Anesthesiology CurrentSince May 1, 2023 Accepting new patients
Anesthesia Pain Care Consultants LLC Anesthesiology CurrentSince Jun 15, 2024 Accepting new patients
Anesthesia Pain Care Consultants LLC Interventional Pain Medicine CurrentSince Jun 15, 2024 Accepting new patients

Locations

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

6000 N Federal Hwy
Ft Lauderdale, FL 33308

4485 N State Road 7
Lauderdale Lakes, FL 33319
Phone (954) 720-3188

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

150 SW 12th Ave
Ste 450
Pompano Beach, FL 33069
Phone (954) 941-3369

7171 N University Dr
Ste 300
Tamarac, FL 33321
Phone (954) 720-3188

7154 N University Dr
Tamarac, FL 33321
Phone (954) 720-3188

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: mgraca124663@direct.med.miami.edu
  • Direct secure messaging: mgraca4177496@direct.trinity-health.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IADCDD

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": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1154982502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 N FEDERAL HWY",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333082226",
            "telephone_number": "954-771-2551",
            "fax_number": "954-492-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 N FEDERAL HWY",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333082226",
            "telephone_number": "954-771-2551",
            "fax_number": "954-492-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACA",
        "first_name": "MATEUSZ",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-26",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME161251",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME161251",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME161251",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME161251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.