Active NPI
Alexander Gregory Graves, MD
- Surgery Physician
- Las Vegas, NV
National Provider Identifier
1679150106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 29824
- Practice address
- 1111 Shadow LN
Las Vegas, NV 89102-2314 - Phone
- (702) 383-4040
- Fax
- (702) 383-0526
- NPI assigned
- Mar 29, 2021
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 29824 | NV | Primary |
Addresses
Primary practice location
1111 Shadow LN
Las Vegas, NV 89102-2314
Mailing address
1111 Shadow LN
Las Vegas, NV 89102-2314
Phone (702) 383-4040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210906000009 | NV | Order and Referring Only - General Surgery | 5294131926 |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 93067
Henderson, NV 89009
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RS2023-1261 | NM | MD | Student in an Organized Health Care Education/Training Program |
Interoperability endpoints
- alexander.graves@hca3.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1679150106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 SHADOW LN",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891022314",
"telephone_number": "702-383-4040",
"fax_number": "702-383-0526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 SHADOW LN",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891022314",
"telephone_number": "702-383-4040",
"fax_number": "702-383-0526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAVES",
"first_name": "ALEXANDER",
"middle_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-29",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NV",
"license": "29824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.