Active NPI
David W. Graybill, MD
- Orthopaedic Surgery Physician
- Anderson, IN
National Provider Identifier
1619983764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 01041279A
- Practice address
- 2610 Enterprise Dr
Anderson, IN 46013-9684 - Phone
- (765) 683-4400
- Fax
- (765) 213-3713
- NPI assigned
- Jul 31, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 01041279A | IN | Primary |
Addresses
Primary practice location
2610 Enterprise Dr
Anderson, IN 46013-9684
Mailing address
PO Box 1643
Muncie, IN 47308-1643
Phone (765) 284-7738
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000174516 | Other | IN | ANTHEM PIN |
| 100173140 | Medicaid | IN | |
| 200039362 | Other | IN | MEDICARE RAILROAD |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients | |
| St. Vincent Anderson Regional Hospital, Inc. | Past | Accepting new patients |
Interoperability endpoints
- dgraybill@direct.iuhealth.org
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Durable Medical Equipment & Medical Supplies
- Anderson, IN
- NPI 1427480029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390348800000",
"number": "1619983764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1643",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473081643",
"telephone_number": "765-284-7738",
"fax_number": "765-213-3713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2610 ENTERPRISE DR",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460139684",
"telephone_number": "765-683-4400",
"fax_number": "765-213-3713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAYBILL",
"first_name": "DAVID",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2014-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IN",
"license": "01041279A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN",
"identifier": "000000174516",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100173140",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "200039362",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anderson, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.