Individual provider Active NPI

Chandra Yvette Gravely, MD

  • Obstetrics & Gynecology Physician
  • Cincinnati, OH
National Provider Identifier
1336149996
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35.062556 Issued in OH
Practice address
10700 Montgomery Rd
Suite 311
Cincinnati, OH 45242
Phone
(513) 891-0211
Fax
(513) 792-5945
NPI assigned
Jul 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35.062556 OH Primary

Addresses

Primary practice location

10700 Montgomery Rd
Suite 311
Cincinnati, OH 45242

Mailing address

4422 Carver Woods Dr Ste 100
Blue Ash, OH 45242-5599
Phone (513) 891-0211

Other practice location 1

10700 Montgomery Rd
Suite 311
Cincinnati, OH 45242-3255
Phone (513) 891-0211

Other identifiers 1

IdentifierTypeStateIssuer
0936438MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040513000605 OH Practitioner - Obstetrics/Gynecology 9133025380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Morehouse School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7700 University Dr
West Chester, OH 45069-2505
Phone (513) 298-7325

Hospital & facility affiliations

  • University of Cincinnati Medical Center, LLC Hospital, Cincinnati, OH, CCN 360003
  • West Chester Hospital Hospital, West Chester, OH, CCN 360354
  • Bethesda North Hospital, Cincinnati, OH, CCN 360179
  • The Jewish Hospital-Mercy Health Hospital, Cincinnati, OH, CCN 360016

Merit-based Incentive Payment System (MIPS)

Final score
82 of 100Reported as group
Quality
65.97
Promoting interoperability
100
Improvement activities
40
Cost
74.01

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.062556OHMDObstetrics & Gynecology Physician

Interoperability endpoints

  • Direct secure messaging: cgravely31737@direct.uchealth.com

Organizations & group practices 1

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 5

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

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1336149996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4422 CARVER WOODS DR STE 100",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452425599",
            "telephone_number": "513-891-0211",
            "fax_number": "513-792-5945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 MONTGOMERY RD",
            "address_2": "SUITE 311",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45242",
            "telephone_number": "513-891-0211",
            "fax_number": "513-792-5945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10700 Montgomery Rd",
            "address_2": "Suite 311",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452423255",
            "country_code": "US",
            "telephone_number": "513-891-0211",
            "fax_number": "513-792-5945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAVELY",
        "first_name": "CHANDRA",
        "middle_name": "YVETTE",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35.062556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0936438",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.