Henry Jack Grainger, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

E1595 Issued in TX

Practice address

511A W Tidwell Rd
Houston, TX 77091-4338

Phone

(713) 694-9709

Fax

(281) 618-8761

NPI assigned

May 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• 1960 Physician Associates

  • Multi-Specialty Clinic/Center
  • Houston, TX
  • NPI 1215391941

  TX

  Medicare reassignment Care Compare group NPD
• Grainger Medical Partners, PLLC

  • Internal Medicine Physician
  • Jersey Village, TX
  • NPI 1720435688

  Internal Medicine, TX

  Medicare reassignment NPD Authorized official
• Grainger Diagnostic Clinic, PA

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1710934419

  TX

  Medicare reassignment Authorized official
• Oakbend Medical Center

  • Skilled Nursing Facility
  • Houston, TX
  • NPI 1396098091
  NPD (past)
• Oakbend Medical Center

  • Skilled Nursing Facility
  • Houston, TX
  • NPI 1558482950
  NPD (past)
• Winnie-Stowell Hospital District

  • Skilled Nursing Facility
  • Houston, TX
  • NPI 1235538513
  NPD (past)

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

• Oakbend Medical Center

  • Skilled Nursing Facility
  • Houston, TX
  • NPI 1396098091

  Nursing home

  Care Compare affiliation
• Oakbend Medical Center

  • Skilled Nursing Facility
  • Houston, TX
  • NPI 1558482950

  Nursing home

  Care Compare affiliation
• Vantage Hospice, LLC

  • Community Based Hospice Care Agency
  • Houston, TX
  • NPI 1962785782

  Hospice

  Care Compare affiliation

Specialty

Internal MedicineAlso: Cardiovascular Disease (Cardiology), Geriatric Medicine

Education

Other, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

1960 Physician Associates 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vantage Hospice Hospice, Houston, TX, CCN 671680
• Houston Heights Nursing and Rehabilitation Center Nursing home, Houston, TX, CCN 676337
• Paradigm at Woodwind Lakes Nursing home, Houston, TX, CCN 675085

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1306892005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511A W TIDWELL RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770914338",
            "telephone_number": "713-694-9709",
            "fax_number": "281-618-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511A W TIDWELL RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770914338",
            "telephone_number": "713-694-9709",
            "fax_number": "281-618-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAINGER",
        "first_name": "HENRY",
        "middle_name": "JACK",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "E1595",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "E1595",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "E1595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00R283",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115814904",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Leigh Booth Graham, LPA, LPC
• William R Graham, MD
• Grahamtime Family PLLC
• Grahamtime Family PLLC
• Grainger Diagnostic Clinic, PA
• Virginia Leigh Grainger, D.C.
• Diana Grair, MD
• Miguel Angel Grajeda Sr.
• Jacqueline Gramajo
• Maria Monica Gramatges, MD

• All providers in Houston, TX
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.