Active NPI
John David Grauer, M.D.
- Sports Medicine (Orthopaedic Surgery) Physician
- Louisville, CO
National Provider Identifier
1376554741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 30848
- Practice address
- 80 Health Park Dr Ste 270
Louisville, CO 80027-4644 - Phone
- (303) 665-0286
- Fax
- (303) 666-5112
- NPI assigned
- Aug 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 30848 | CO | Primary |
Addresses
Primary practice location
80 Health Park Dr Ste 270
Louisville, CO 80027-4644
Mailing address
80 Health Park Dr Ste 270
Louisville, CO 80027-4644
Phone (303) 665-0286
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01308485 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30848 | CO | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Professional Association P.C. | Past | Accepting new patients |
Interoperability endpoints
- jdavid.grauer.p15@direct.ipn.nextgenshare.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.
-
- Orthopaedic Surgery Physician
- Louisville, CO
- NPI 1922738228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580860800000",
"number": "1376554741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 HEALTH PARK DR STE 270",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800274644",
"telephone_number": "303-665-0286",
"fax_number": "303-666-5112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 HEALTH PARK DR STE 270",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800274644",
"telephone_number": "303-665-0286",
"fax_number": "303-666-5112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAUER",
"first_name": "JOHN",
"middle_name": "DAVID",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2020-02-05",
"certification_date": "2020-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "CO",
"license": "30848",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01308485",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.