Individual provider Active NPI

Margaret Graynovsky, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Wheeling, WV
National Provider Identifier
1326255209
Registry record updated Jun 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
0101226840 Issued in VA
Practice address
20 Homestead Ave
Wheeling, WV 26003-6638
Phone
(703) 599-9496
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 0101226840 VA Primary
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician 2081H0002X 0101226840 VA

Addresses

Primary practice location

20 Homestead Ave
Wheeling, WV 26003-6638

Mailing address

20 Homestead Ave
Wheeling, WV 26003-6638
Phone (703) 599-9496

Other identifiers 1

IdentifierTypeStateIssuer
010079039MedicaidVA

Other names 1

  • Margaret Graynovskaya Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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

Enrollment IDStateProvider typePAC IDDetails
I20150729007461 WV Practitioner - Physical Medicine and Rehabilitation 5991963738 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101226840VAMDHospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabmd PLLC CurrentSince Jun 1, 2015 Accepting new patients
Good Shepherd Nursing Home LC CurrentSince Jun 1, 2015 Accepting new patients
Neuromuscular, Spine and Joint Care Specialists, PLLC Physical Medicine & Rehabilitation Past Accepting new patients
Mount Vernon Rehabilitation Medicine Associates Physical Medicine & Rehabilitation Past Accepting new patients

Locations

20 Homestead Ave
Wheeling, WV 26003
Phone (304) 234-0500

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433894400000",
    "number": "1326255209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HOMESTEAD AVE",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036638",
            "telephone_number": "703-599-9496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HOMESTEAD AVE",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036638",
            "telephone_number": "703-599-9496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAYNOVSKY",
        "first_name": "MARGARET",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2015-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "0101226840",
            "primary": true
        },
        {
            "code": "2081H0002X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
            "state": "VA",
            "license": "0101226840",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010079039",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARET",
            "last_name": "GRAYNOVSKAYA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wheeling, WV

Sources for this page

Verify at the official NPI Registry.