Individual provider Active NPI

Joseph A Graversen, M.D.

  • Urology Physician
  • Paoli, PA
National Provider Identifier
1396935912
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A117518 Issued in CA
Practice address
209 W Lancaster Ave
Suite 200
Paoli, PA 19301-1749
Phone
(610) 525-2515
NPI assigned
Jul 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 256182 NY
Urology Physician 208800000X A117518 CA Primary
Urology Physician 208800000X MD445817 PA

Addresses

Primary practice location

209 W Lancaster Ave
Suite 200
Paoli, PA 19301-1749

Mailing address

209 W Lancaster Ave
Suite 200
Paoli, PA 19301-1749
Phone (610) 525-2515

Other identifiers 1

IdentifierTypeStateIssuer
1090905MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20120613000027 PA Practitioner - Urology 4688843246 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Louisiana State University School of Medicine in New Orleans, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4 Industrial Blvd
Suite 180
Paoli, PA 19301-1612
Phone (484) 320-7700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.14 of 100Reported as group
Promoting interoperability
100
Improvement activities
40
Cost
67.15

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
256182NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physician Services, PC / Dba Midlantic Urology Urology CurrentSince Apr 20, 2017 Accepting new patients
Urology Health Surgery Center, LLC CurrentSince Oct 9, 2014 Accepting new patients
Urology Health Surgery Center, LLC Current Accepting new patients
Alliance Physician Services, PC Urology Current Accepting new patients
Urology Health Surgery Center, LLC CurrentSince Oct 9, 2014 Accepting new patients
Alliance Physician Services, PC Urology CurrentSince Apr 20, 2017 Accepting new patients
Alliance Physician Services, PC Urology Past Accepting new patients

Locations

1235 Old York Rd
Ste 210
Abington, PA 19001
Phone (215) 517-1100

1974 Sproul Rd
Ste 106
Broomall, PA 19008
Phone (610) 259-3000

931 E Haverford Rd
Bryn Mawr, PA 19010
Phone (610) 525-2311

245 S Bryn Mawr Ave
Bryn Mawr, PA 19010
Phone (610) 525-2515

211 S Gulph Rd
Ste 200
Kng of Prussa, PA 19406
Phone (610) 382-5910

4 Industrial Blvd
Ste 180
Paoli, PA 19301
Phone (484) 320-7700

4 Industrial Blvd
Ste 175
Paoli, PA 19301
Phone (610) 525-2515

656 E Swedesford Rd
Ste 100
Wayne, PA 19087
Phone (610) 230-0736

656 E Swedesford Rd
Ste 120
Wayne, PA 19087
Phone (610) 273-5320

Interoperability endpoints

  • Direct secure messaging: jgraversen@urologyhealthspecialists.medentdirect.com

Organizations & group practices 7

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": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1396935912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W LANCASTER AVE",
            "address_2": "SUITE 200",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011749",
            "telephone_number": "610-525-2515",
            "fax_number": "610-527-6586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W LANCASTER AVE",
            "address_2": "SUITE 200",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011749",
            "telephone_number": "610-525-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVERSEN",
        "first_name": "JOSEPH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-30",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "256182",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A117518",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD445817",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1090905",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

Verify at the official NPI Registry.