Individual provider Active NPI

Jeffrey John Grabenstein, M.D.

  • Family Medicine Physician
  • Oak Ridge, TN
National Provider Identifier
1639277494
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD0000030688 Issued in TN
Practice address
400 Laboratory Rd Ste 101
Oak Ridge, TN 37830-6808
Phone
(865) 482-1692
Fax
(865) 482-4070
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD0000030688 TN Primary

Addresses

Primary practice location

400 Laboratory Rd Ste 101
Oak Ridge, TN 37830-6808

Mailing address

400 Laboratory Rd Ste 101
Oak Ridge, TN 37830-6808
Phone (865) 482-1692

Other identifiers 1

IdentifierTypeStateIssuer
3836002MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101118000760 TN Practitioner - Family Practice 2769678648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Northwestern University Feinberg Medical School, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Doctors of Oak Ridge, PCGroup PAC ID 5597716332, 2 clinicians

Practice addresses (Care Compare)

400 Laboratory Rd
Suite 101
Oak Ridge, TN 37830-6808
Phone (865) 482-1692

Hospital & facility affiliations

  • Parkwest Medical Center Hospital, Knoxville, TN, CCN 440173
  • Methodist Medical Center of Oak Ridge Hospital, Oak Ridge, TN, CCN 440034
  • University Health System, Inc Hospital, Knoxville, TN, CCN 440015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0000030688TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Doctors of Oak Ridge, PC Family Medicine CurrentSince Feb 1, 2000 Accepting new patients

Locations

653 Briarcliff Ave
Oak Ridge, TN 37830
Phone (865) 482-6080

400 Laboratory Rd
Ste 101
Oak Ridge, TN 37830
Phone (865) 482-1692

Interoperability endpoints

  • Direct secure messaging: admin@orfamdocs.e-mdsdirect.com
  • Direct secure messaging: jeffrey.grabenstein.1@14531.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1639277494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 LABORATORY RD STE 101",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306808",
            "telephone_number": "865-482-1692",
            "fax_number": "865-482-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LABORATORY RD STE 101",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306808",
            "telephone_number": "865-482-1692",
            "fax_number": "865-482-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABENSTEIN",
        "first_name": "JEFFREY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD0000030688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3836002",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge, TN

Sources for this page

Verify at the official NPI Registry.