Individual provider Active NPI

Nathan Lynn Graves, M.D.

  • Urology Physician
  • Grapevine, TX
National Provider Identifier
1184653743
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
F8131 Issued in TX
Practice address
1601 Lancaster Dr Ste 170
Grapevine, TX 76051-2110
Phone
(817) 481-7727
Fax
(817) 329-0077
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X F8131 TX Primary

Addresses

Primary practice location

1601 Lancaster Dr Ste 170
Grapevine, TX 76051-2110

Mailing address

1601 Lancaster Dr Ste 170
Grapevine, TX 76051-2110
Phone (817) 481-7727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040420000975 TX Practitioner - Urology 5193710853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Oklahoma College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North DFW Urology LLPGroup PAC ID 5698760304, 2 clinicians

Practice addresses (Care Compare)

1601 Lancaster Dr
Suite 170
Grapevine, TX 76051-2110
Phone (817) 481-7727

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F8131TXMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North DFW Urology LLP Urology CurrentSince Jan 1, 2001 Accepting new patients

Locations

1601 Lancaster Dr
Ste 170
Grapevine, TX 76051
Phone (817) 481-7727

Interoperability endpoints

  • Direct secure messaging: nathangraves@ndfwuro.medalliesdirect.net

Organizations & group practices 1

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 4

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1184653743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 LANCASTER DR STE 170",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760512110",
            "telephone_number": "817-481-7727",
            "fax_number": "817-329-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 LANCASTER DR STE 170",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760512110",
            "telephone_number": "817-481-7727",
            "fax_number": "817-329-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "NATHAN",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "F8131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

Verify at the official NPI Registry.