Individual provider Active NPI

Reese Cabot Graves, MD

  • Family Medicine Physician
  • Richardson, TX
National Provider Identifier
1679757652
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M8006 Issued in TX
Practice address
1410 E Renner Rd Ste 201
Richardson, TX 75082-2227
Phone
(972) 312-3311
Fax
(972) 669-8072
NPI assigned
Dec 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M8006 TX Primary
Obstetrics & Gynecology Physician 207V00000X M8006 TX

Addresses

Primary practice location

1410 E Renner Rd Ste 201
Richardson, TX 75082-2227

Mailing address

1410 E Renner Rd Ste 201
Richardson, TX 75082-2227
Phone (972) 234-3311

Other identifiers 1

IdentifierTypeStateIssuer
204061001MedicaidTX

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rgraves572119@direct.sw.org
Direct Messaging Address rgraves572119@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080820000601 TX Practitioner - Family PracticePractitioner - Emergency Medicine 1759456098 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Texas Southwestern Medical School at Dallas, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

2520 N Central Expwy
Suite 100
Richardson, TX 75080-2053
Phone (972) 234-3311

Hospital & facility affiliations

  • Baylor Scott & White Medical Center Plano Hospital, Plano, TX, CCN 450890
  • Medical City Plano Hospital, Plano, TX, CCN 450651
  • Baylor University Medical Center Hospital, Dallas, TX, CCN 450021
  • Baylor Scott and White Medical Center Lake Pointe Hospital, Rowlett, TX, CCN 450742
  • Baylor Scott & White the Heart Hospital Plano Hospital, Plano, TX, CCN 670025
  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC CurrentSince Jun 6, 2019 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Jun 6, 2019 Accepting new patients
Healthtexas Provider Network CurrentSince Jan 6, 2020 Accepting new patients
Healthtexas Provider Network Family Medicine CurrentSince Jan 6, 2020 Accepting new patients
Healthtexas Provider Network Family Medicine PastSince May 12, 2024 Accepting new patients

Locations

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

601 Clara Barton Blvd
Ste 340
Garland, TX 75042
Phone (469) 800-2279

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

215 Chisholm Trl
Jacksboro, TX 76458
Phone (940) 567-5528

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

2520 N Central Expy
Ste 100
Richardson, TX 75080
Phone (972) 234-3311

Interoperability endpoints

  • Direct secure messaging: rgraves572119@direct.sw.org

Organizations & group practices 5

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 6

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": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1679757652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 E RENNER RD STE 201",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822227",
            "telephone_number": "972-234-3311",
            "fax_number": "972-272-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 E RENNER RD STE 201",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822227",
            "telephone_number": "972-312-3311",
            "fax_number": "972-669-8072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "REESE",
        "middle_name": "CABOT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-26",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M8006",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "M8006",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204061001",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rgraves572119@direct.sw.org",
            "affiliation": "N",
            "address_1": "2520 N Central Expy Ste 100",
            "city": "Richardson",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750802053",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rgraves572119@direct.sw.org",
            "affiliation": "N",
            "address_1": "1410 E Renner Rd Ste 201",
            "city": "Richardson",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750822227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.