Active NPI
Frank N Gravino, MD
- Cardiovascular Disease Physician
- Silver Spring, MD
National Provider Identifier
1194820928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- D0025080
- Practice address
- 8630 Fenton St Ste 1105
Silver Spring, MD 20910-3861 - Phone
- (301) 681-9095
- Fax
- (410) 367-2114
- NPI assigned
- Sep 14, 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | D0025080 | MD | Primary |
Addresses
Primary practice location
8630 Fenton St Ste 1105
Silver Spring, MD 20910-3861
Mailing address
9910 Franklin Square Dr Ste 2110
Baltimore, MD 21236-4902
Other practice location 1
10313 Georgia Avenue
Suite 307
Silver Spring, MD 20902
Phone (301) 681-9095
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 58030003 | Other | BLUE CROSS DC | |
| CM6438 | Other | RAILROAD MEDICARE | |
| 24324 | Other | MAMSI | |
| KA62IT | Other | BLUE CROSS MD | |
| 4086234 | Other | UNITED HEALTH CARE | |
| 328461100 | Medicaid | MD | |
| 0787143 | Other | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0025080 | MD | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Physician Services, Inc. | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Adventist Healthcare, Inc. | Cardiovascular Disease | Past | Accepting new patients |
Locations
820 W Diamond Ave
Ste 500
Gaithersburg, MD 20878
9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000
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 and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Gaithersburg, MD
- NPI 1376623207
DC
-
- General Acute Care Hospital
- Rockville, MD
- NPI 1568468221
Cardiovascular Disease
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1194820928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9910 FRANKLIN SQUARE DR STE 2110",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212364902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8630 FENTON ST STE 1105",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209103861",
"telephone_number": "301-681-9095",
"fax_number": "410-367-2114"
}
],
"practiceLocations": [
{
"address_1": "10313 Georgia Avenue",
"address_2": "Suite 307",
"address_purpose": "LOCATION",
"city": "Silver Spring",
"state": "MD",
"postal_code": "20902",
"country_code": "US",
"telephone_number": "301-681-9095",
"fax_number": "301-681-8156",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAVINO",
"first_name": "FRANK",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MD",
"license": "D0025080",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS DC",
"identifier": "58030003",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CM6438",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "24324",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS MD",
"identifier": "KA62IT",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "4086234",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "328461100",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0787143",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.