Individual provider Active NPI

Peter R Graze, M.D.

  • Hematology & Oncology Physician
  • Annapolis, MD
National Provider Identifier
1669400784
Registry record updated Dec 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
D0016364 Issued in MD
Practice address
2003 Medical Pkwy
Suite 210
Annapolis, MD 21401-7992
Phone
(410) 573-5300
Fax
(410) 266-9645
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X D0016364 MD Primary

Addresses

Primary practice location

2003 Medical Pkwy
Suite 210
Annapolis, MD 21401-7992

Mailing address

PO Box 12622
Belfast, ME 04915-4017
Phone (443) 481-6571

Other identifiers 1

IdentifierTypeStateIssuer
316651100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20100205000562 MD Practitioner - Hematology/Oncology 6800993460 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Harvard Medical School, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maryland Oncology Hematology PAGroup PAC ID 2062302102, 96 clinicians

Practice addresses (Care Compare)

10710 Charter Dr
Suite G020
Columbia, MD 21044-3257
Phone (410) 964-2218

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.37 of 100Reported as individual
Quality
89.21
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0016364MDMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC CurrentSince Jan 1, 2010 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Jan 1, 2010 Accepting new patients
Maryland Oncology Hematology P.a. CurrentSince Oct 23, 2020 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Maryland Oncology Hematology P.a. Hematology & Oncology CurrentSince Oct 23, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

183 Harry S Truman Pkwy
Ste 120
Annapolis, MD 21401
Phone (410) 266-9200

2003 Medical Pkwy
Ste 210
Annapolis, MD 21401
Phone (410) 573-5300

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

810 Bestgate Rd
Annapolis, MD 21401
Phone (410) 573-1110

10710 Charter Dr
Ste G020
Columbia, MD 21044
Phone (410) 964-2212

Interoperability endpoints

  • Direct secure messaging: peter.graze@mdonc.ikm.direct-ci.com

Organizations & group practices 6

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 2

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386028800000",
    "number": "1669400784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12622",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154017",
            "telephone_number": "443-481-6571",
            "fax_number": "443-481-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 MEDICAL PKWY",
            "address_2": "SUITE 210",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017992",
            "telephone_number": "410-573-5300",
            "fax_number": "410-266-9645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAZE",
        "first_name": "PETER",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2013-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MD",
            "license": "D0016364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "316651100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.