NPIMap

Individual provider Active NPI

Russell Jay Graff, MD

  • Emergency Medicine Physician
  • Maumee, OH
National Provider Identifier
1194795393
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35073595 Issued in OH
Practice address
5901 Monclova Rd
Maumee, OH 43537-1855
Phone
(419) 893-5968
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35073595 OH
Emergency Medicine Physician 207P00000X 35073595 OH Primary

Addresses

Primary practice location

5901 Monclova Rd
Maumee, OH 43537-1855

Mailing address

2624 Jodore Ave
Toledo, OH 43606-2768
Phone (419) 536-5186

Other identifiers 2

IdentifierTypeStateIssuer
2176998MedicaidOH
000000281779OtherOHANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050411000322 OH Practitioner - Emergency MedicinePractitioner - Family Practice 2860439031 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Toledo College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Toledo HospitalGroup PAC ID 2961309638, 118 clinicians

Practice addresses (Care Compare)

1075 Medical Ctr Pkwy
Maumee, OH 43537
Phone (567) 585-0800

Hospital & facility affiliations

  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068

Merit-based Incentive Payment System (MIPS)

Final score
99.25 of 100Reported as group
Quality
96.55
Improvement activities
40
Cost
89.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35073595OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Toledo Hospital Emergency Medicine CurrentSince Nov 14, 2021 Accepting new patients
The Toledo Hospital Current Accepting new patients
Emergency Physicians of Northwest Ohio Inc. Emergency Medicine CurrentSince Nov 1, 2002 Accepting new patients
Consultants in Laboratory Medicine of Greater Toledo Current Accepting new patients
The Toledo Hospital CurrentSince Nov 14, 2021 Accepting new patients
Haematology-Oncology Associates of Ohio and Michigan PC Current Accepting new patients
Medical Emergency Treatment Corporation Emergency Medicine Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Observation Physicians of Northwest Ohio LLC Emergency Medicine PastSince Mar 21, 2021 Accepting new patients

Locations

1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335

1075 Medical Center Pkwy
Maumee, OH 43537
Phone (567) 585-0800

5901 Monclova Rd
Maumee, OH 43537
Phone (419) 893-5911

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

Organizations & group practices 9

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 2

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1194795393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 JODORE AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436062768",
            "telephone_number": "419-536-5186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 MONCLOVA RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371855",
            "telephone_number": "419-893-5968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAFF",
        "first_name": "RUSSELL",
        "middle_name": "JAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35073595",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35073595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2176998",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000281779",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

Verify at the official NPI Registry.