Individual provider Active NPI

Grace K Razavian

  • Urology Physician
  • Fredericksburg, VA
National Provider Identifier
1417481631
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
0101279258 Issued in VA
Practice address
1051 Care Way
Fredericksburg, VA 22401-8425
Phone
(540) 374-3131
NPI assigned
Apr 13, 2017
Last updated
Aug 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 0101279258 VA Primary

Addresses

Primary practice location

1051 Care Way
Fredericksburg, VA 22401-8425

Mailing address

1051 Care Way
Fredericksburg, VA 22401-8425
Phone (540) 374-3131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20230731001502 VA Practitioner - Urology 6709156581 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Medical College of Georgia School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urology Associates of Fredericksburg, PCGroup PAC ID 0345343927, 12 clinicians

Practice addresses (Care Compare)

1051 Care Way
Fredericksburg, VA 22401-8425
Phone (540) 374-3131

125 Hospital Ctr Blvd
Suite 329
Stafford, VA 22554-6202
Phone (540) 657-6155

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection25

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Washington Healthcare Physicians CurrentSince Sep 30, 2023 Accepting new patients
Urology Associates of Fredericksburg, PC Urology CurrentSince Sep 6, 2023 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Sep 30, 2023 Accepting new patients
Urology Associates Urology Past Accepting new patients

Locations

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

1051 Care Way
Fredericksburg, VA 22401
Phone (540) 374-3131

4710 Spotsylvania Pkwy
Fredericksburg, VA 22407
Phone (540) 373-7133

4710 Spotsylvania Pkwy
Ste 204
Fredericksburg, VA 22407
Phone (540) 374-3131

125 Hospital Center Blvd
Ste 329
Stafford, VA 22554
Phone (540) 657-6367

Interoperability endpoints

  • Direct secure messaging: graceyaguchi@fredericksberguro.medalliesdirect.net
  • Direct secure messaging: grazavian109576@marywashingtonhealthcare.direct-ci.com
  • Direct secure messaging: gyaguchi448756@direct.hfhs.org
  • FHIR API: https://app.meldrx.com/api/fhir/uc05441_uaoffredericksburg
  • FHIR API: https://app.meldrx.com/api/fhir/uc08436_urologyassociatesmuncie

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1417481631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 CARE WAY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018425",
            "telephone_number": "540-374-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 CARE WAY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018425",
            "telephone_number": "540-374-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZAVIAN",
        "first_name": "GRACE",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-13",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "VA",
            "license": "0101279258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.