Individual provider Active NPI

Hugo G Graziani, M.D.

  • Internal Medicine Physician
  • Silver Spring, MD
National Provider Identifier
1487654059
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0008188 Issued in MD
Practice address
717 Pershing Drive
Silver Spring, MD 20910-4321
Phone
(301) 589-5362
Fax
(301) 608-2253
NPI assigned
Jul 26, 2005
Reactivated
Mar 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0008188 MD Primary

Addresses

Primary practice location

717 Pershing Drive
Silver Spring, MD 20910-4321

Mailing address

717 Pershing Dr
Silver Spring, MD 20910-4321
Phone (301) 589-5362

Other identifiers 1

IdentifierTypeStateIssuer
374291100MedicaidMD

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

LicenseStateTypeSpecialty
D0008188MDMDInternal Medicine Physician

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": "1218067200000",
    "number": "1487654059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 PERSHING DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104321",
            "telephone_number": "301-589-5362",
            "fax_number": "301-608-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 PERSHING DRIVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104321",
            "telephone_number": "301-589-5362",
            "fax_number": "301-608-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAZIANI",
        "first_name": "HUGO",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2008-08-07",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0008188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374291100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.