Individual provider Active NPI

David S Grauman, M.D., P.C., M.R.O.

  • Internal Medicine Physician
  • Flagstaff, AZ
National Provider Identifier
1508993429
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
75392 Issued in AZ
Practice address
12340 N Eagle Rd
Flagstaff, AZ 86004-5326
Phone
(928) 686-7858
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2026

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 75392 AZ Primary

Addresses

Primary practice location

12340 N Eagle Rd
Flagstaff, AZ 86004-5326

Mailing address

12340 N Eagle Rd
Flagstaff, AZ 86004-5326
Phone (928) 686-7859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MP
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
I20150413001347 MP Practitioner - Internal Medicine 4587818786 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75392AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Healthcare Corporation CurrentSince Jan 24, 2015 Accepting new patients
Commonwealth Healthcare Corporation CurrentSince Jan 24, 2015 Accepting new patients
David S Grauman MD PC Internal Medicine Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1508993429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12340 N EAGLE RD",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860045326",
            "telephone_number": "928-686-7859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12340 N EAGLE RD",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860045326",
            "telephone_number": "928-686-7858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAUMAN",
        "first_name": "DAVID",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D., P.C., M.R.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "75392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.