Individual provider Active NPI

Robert G. Graw Jr., M.D.

  • Pediatrics Physician
  • Davidsonville, MD
National Provider Identifier
1326091232
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0013889 Issued in MD
Practice address
2772 Rutland Rd
Davidsonville, MD 21035-1228
Phone
(410) 798-1705
Fax
(443) 332-4265
NPI assigned
May 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0013889 MD Primary

Addresses

Primary practice location

2772 Rutland Rd
Davidsonville, MD 21035-1228

Mailing address

2772 Rutland Rd
Davidsonville, MD 21035-1228
Phone (410) 798-1705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050622001242 MD Practitioner - Pediatric MedicinePractitioner - Hematology/Oncology 5294627600 Reassigns benefits to 2 organizations
I20070711000175 DC Practitioner - Pediatric Medicine 5294627600 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0013889MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Urgent Care LLC CurrentSince Dec 1, 2020 Accepting new patients
Medstar Urgent Care, LLC CurrentSince Dec 1, 2020 Accepting new patients
Medstar Urgent Care LLC Current Accepting new patients
Medstar Urgent Care LLC CurrentSince Dec 1, 2020 Accepting new patients
Nighttime Radiology LLC Past Accepting new patients
Harcart Health Holdings LLC Past Accepting new patients
The Pediatric Group LLP Pediatrics PastSince Feb 2, 2025 Accepting new patients
Harcart Health Holdings LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
The Pediatric Group, LLP Pediatrics Past Accepting new patients
Harcart Health Holdings LLC Past Accepting new patients
Harcart Health Holdings LLC Past Accepting new patients
Nighttime Radiology North LLC PastSince Jul 11, 2006 Accepting new patients
Harcart Health Holdings LLC Past Accepting new patients
Harcart Health Holdings LLC Past Accepting new patients
Harcart Health Holdings LLC Past Accepting new patients
Harcart Health Holdings LLC Past Accepting new patients
Harcart Health Holdings LLC Past Accepting new patients

Locations

2114 Generals Hwy
Annapolis, MD 21401
Phone (410) 224-6483

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

6334 Cedar Ln
Columbia, MD 21044
Phone (301) 596-6483

7698 Dorchester Blvd
Ste 204
Hanover, MD 21076

12220 Rockville Pike
Rockville, MD 20852
Phone (301) 468-6483

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

Interoperability endpoints

  • Direct secure messaging: gkiray1@direct.iuhealth.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/AEDHBD
  • Direct secure messaging: robert.graw@tpedgrp.eclinicaldirectplus.com

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326091232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2772 RUTLAND RD",
            "city": "DAVIDSONVILLE",
            "state": "MD",
            "postal_code": "210351228",
            "telephone_number": "410-798-1705",
            "fax_number": "443-332-4265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2772 RUTLAND RD",
            "city": "DAVIDSONVILLE",
            "state": "MD",
            "postal_code": "210351228",
            "telephone_number": "410-798-1705",
            "fax_number": "443-332-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAW",
        "first_name": "ROBERT",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0013889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davidsonville, MD

Sources for this page

Verify at the official NPI Registry.