NPIMap

Individual provider Active NPI

Steven W, Graeca, D.O.

  • Internal Medicine Physician
  • Du Bois, PA
National Provider Identifier
1295765030
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS-009921-L Issued in PA
Practice address
145 Hospital Ave
Suite 215
Du Bois, PA 15801-1462
Phone
(814) 371-1717
Fax
(814) 375-4422
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS-009921-L PA Primary

Addresses

Primary practice location

145 Hospital Ave
Suite 215
Du Bois, PA 15801-1462

Mailing address

PO Box 447
Du Bois, PA 15801-0447
Phone (814) 371-1717

Other identifiers 2

IdentifierTypeStateIssuer
025341OtherPAMEDICARE CMS
001798840MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050331000326 PA Practitioner - Internal Medicine 7315994548 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio University, College of Osteopathic Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dubois Regional Medical CenterGroup PAC ID 5890689715, shared by 39 NPIs, 424 clinicians

Practice addresses (Care Compare)

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 371-2200

Hospital & facility affiliations

  • Penn Highlands Community Nurses Home health agency, Saint Marys, PA, CCN 397028
  • Penn Highlands Community Nurses Home health agency, Clearfield, PA, CCN 397091
  • Penn Highlands Community Nurses Hospice, Clearfield, PA, CCN 391542
  • Penn Highlands Community Nurses Hospice, Saint Marys, PA, CCN 391562
  • Penn Highlands Dubois Hospital, Dubois, PA, CCN 390086
  • Penn Highlands Elk Hospital, Saint Marys, PA, CCN 391315
  • Penn Highlands Brookville Hospital, Brookville, PA, CCN 391312
  • Independence Health System Clarion Hospital Hospital, Clarion, PA, CCN 390093
  • Penn Highlands Huntingdon Hospital, Huntingdon, PA, CCN 390056
  • Elk Haven Nursing Home Nursing home, Saint Marys, PA, CCN 395341
  • Christ the King Manor Nursing home, Dubois, PA, CCN 395460
  • Dubois Nursing Home Nursing home, Dubois, PA, CCN 395430

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS-009921-LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dubois Regional Medical Center Internal Medicine Current Accepting new patients
Apogee Medical Group of Pennsylvania PC Internal Medicine CurrentSince Oct 15, 2015 Accepting new patients
Dubois Regional Medical Center Internal Medicine CurrentSince Aug 16, 2011 Accepting new patients
Dubois Regional Medical Center Internal Medicine CurrentSince Jan 1, 2005 Accepting new patients
Apogee Medical Group of Pennsylvania PC Internal Medicine CurrentSince Oct 15, 2015 Accepting new patients
Brookville Hospital Internal Medicine CurrentSince Oct 20, 2019 Accepting new patients
Elk Haven Nursing Home Association Past Accepting new patients
Dubois Continuum of Care Community, Inc. Past Accepting new patients
Christ the King Manor, Inc. Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Elk Regional Health Center Past Accepting new patients
Dubois Regional Medical Center Past Accepting new patients

Locations

100 Hospital Rd
Brookville, PA 15825
Phone (814) 849-1408

809 Turnpike Ave
Clearfield, PA 16830
Phone (814) 765-5341

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

145 Hospital Ave
Ste 204
Dubois, PA 15801
Phone (814) 371-4360

100 Hospital Ave
Ofc
Dubois, PA 15801

145 Hospital Ave
Ste 313
Dubois, PA 15801
Phone (814) 375-4000

145 Hospital Ave
Ste 215
Dubois, PA 15801
Phone (814) 371-1717

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

Interoperability endpoints

  • Direct secure messaging: swgraeca@1285.direct.myezyaccess.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Elk Haven Nursing Home AssociationSaint Marys, PA, CCN 395341 Skilled nursing facility Corporate Director Jul 1, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

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 54

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 54

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1295765030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 447",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158010447",
            "telephone_number": "814-371-1717",
            "fax_number": "814-375-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 HOSPITAL AVE",
            "address_2": "SUITE 215",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011462",
            "telephone_number": "814-371-1717",
            "fax_number": "814-375-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAECA",
        "first_name": "STEVEN",
        "middle_name": "W,",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS-009921-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CMS",
            "identifier": "025341",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001798840",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Du Bois, PA

Sources for this page

Verify at the official NPI Registry.