Active NPI
David M. Graves, PA-C
- Physician Assistant
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2043
- Practice address
- 9060 E. Via Linda Dr
Scottsdale, AZ 85258 - Phone
- (480) 500-2285
- NPI assigned
- Oct 14, 2006
- Last updated
- Feb 6, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5121596-1206 | UT | |
| Physician Assistant | 363A00000X | 1289 | NE | |
| Physician Assistant | 363A00000X | 2043 | CO | Primary |
Addresses
Primary practice location
9060 E. Via Linda Dr
Scottsdale, AZ 85258
Mailing address
17491 N Saddle Ridge Dr
Surprise, AZ 85374-6411
Phone (623) 755-6922
Other practice location 1
7713 E Hillgate Way
Parker, CO 80134-6311
Phone (720) 851-4240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61780839 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
13840 W Camelback Rd
Suite 10
Litchfield Park, AZ 85340-3084
Phone (602) 853-4057
14800 W Mountain View Blvd
Suite 190
Surprise, AZ 85374-2700
Phone (623) 385-7299
1683 E Florence Blvd
Suite 7
Casa Grande, AZ 85122-4813
Phone (520) 876-0800
1810 Mesquite Ave
Suite B
Lake Havasu City, AZ 86403-5886
Phone (928) 453-4600
20950 N Tatum Blvd
Suite 190
Phoenix, AZ 85050-4251
Phone (480) 776-0021
3229 E Greenway Rd
Suite 102
Phoenix, AZ 85032-4508
Phone (602) 788-3285
5410 W Thunderbird Rd
Suite 101
Glendale, AZ 85306-4711
Phone (602) 530-6189
914 N Scottsdale Rd
Suite 104
Tempe, AZ 85288-2116
Phone (480) 924-8382
9494 W Northern Ave
Suite 101
Glendale, AZ 85305-1119
Phone (623) 872-2226
9745 W Bell Rd
Suite 105
Sun City, AZ 85351-1371
Phone (623) 742-2999
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2043 | CO | MD | Professional Counselor |
| 1289 | NE | MD | Occupational Therapist |
| 5121596-1206 | UT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Past | Accepting new patients | |
| West Virginia University Medical Corporation | Past | Accepting new patients | |
| Arizona Pulmonary Specialists LTD | Past | Accepting new patients | |
| Front Range Emergency Specialists, PC | Past | Accepting new patients |
Interoperability endpoints
- david.gravespac.p1@direct.nextcare.nextgenshare.com
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71750
Organizations & group practices 8
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.
-
- Urgent Care Clinic/Center
- Tempe, AZ
- NPI 1114798071
-
- Hospitalist Physician
- Phoenix, AZ
- NPI 1154860674
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1215275433
-
- Pulmonary Disease Physician
- Scottsdale, AZ
- NPI 1215986468
-
- Emergency Medicine Physician
- Colorado Springs, CO
- NPI 1538233234
-
dba Intermountain Utah Valley Hospitalists
- Hospitalist Physician
- Provo, UT
- NPI 1134259294
-
dba Crisis Support and Recovery Center
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549411200000",
"number": "1598855991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17491 N SADDLE RIDGE DR",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853746411",
"telephone_number": "623-755-6922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9060 E. VIA LINDA DR",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "85258",
"telephone_number": "480-500-2285"
}
],
"practiceLocations": [
{
"address_1": "7713 E Hillgate Way",
"address_purpose": "LOCATION",
"city": "Parker",
"state": "CO",
"postal_code": "801346311",
"country_code": "US",
"telephone_number": "720-851-4240",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAVES",
"first_name": "DAVID",
"middle_name": "M.",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-14",
"last_updated": "2019-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "5121596-1206",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NE",
"license": "1289",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "2043",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "61780839",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.