Active NPI
Kelsey R Graven, D.O.
- Allergy & Immunology Physician
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 202101872
- Practice address
- 4600 Lake Boone TR
Suite 100
Raleigh, NC 27607 - Phone
- (197) 871-3749
- Fax
- (919) 571-8135
- NPI assigned
- May 30, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 202101872 | NC | Primary |
Addresses
Primary practice location
4600 Lake Boone TR
Suite 100
Raleigh, NC 27607
Mailing address
4600 Lake Boone TR
Suite 100
Raleigh, NC 27607
Phone (919) 787-1374
Other practice location 1
5915 Landerbrook Dr Ste 110
Mayfield Heights, OH 44124-4034
Phone (216) 381-3333
Other practice location 2
29000 Center Ridge Rd
Westlake, OH 44145-5219
Phone (440) 835-8000
Organizations & group practices 4
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.
-
- Allergy & Immunology Physician
- Mayfield Heights, OH
- NPI 1922212760
Allergy & Immunology
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1700828852
-
- Otolaryngology/Facial Plastic Surgery Physician
- Raleigh, NC
- NPI 1477554327
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Edward Via Col of Osteo Medicine-Carolinas Campus, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Raleigh Capitol Ear Nose and Throat
Practice addresses (Care Compare)
3010 Anderson Dr
Raleigh, NC 27609-7798
Phone (919) 787-7171
Hospital & facility affiliations
- Rex Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.65 of 100
- Quality
- 93.93
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.56
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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 |
|---|---|---|---|---|
| I20210824001632 | NC | Practitioner - Allergy/Immunology | 3274820303 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202101872 | NC | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raleigh Capitol Ear, Nose, and Throat | Current | Accepting new patients | |
| Allergy Immunology Associates Inc | Allergy & Immunology | Current | Accepting new patients |
| The Metrohealth System | Current | Accepting new patients | |
| Capitol Ear, Nose & Throat | Past | Accepting new patients |
Locations
4600 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 787-1374
3010 Anderson Dr
Raleigh, NC 27609
Phone (919) 420-2029
4600 Lake Boone Trl
Ste 100
Raleigh, NC 27607
Phone (919) 420-2027
5915 Landerbrook Dr
Ste 110
Mayfield Hts, OH 44124
Phone (216) 381-3333
Interoperability endpoints
- kgraven190239@direct.metrohealth.org
- kgraven@raleighcapitolent.emadirect.md
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754956800000",
"number": "1679921779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 LAKE BOONE TR",
"address_2": "SUITE 100",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27607",
"telephone_number": "919-787-1374",
"fax_number": "919-571-8135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 LAKE BOONE TR",
"address_2": "SUITE 100",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27607",
"telephone_number": "197-871-3749",
"fax_number": "919-571-8135"
}
],
"practiceLocations": [
{
"address_1": "5915 Landerbrook Dr Ste 110",
"address_purpose": "LOCATION",
"city": "Mayfield Heights",
"state": "OH",
"postal_code": "441244034",
"country_code": "US",
"telephone_number": "216-381-3333",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "29000 Center Ridge Rd",
"address_purpose": "LOCATION",
"city": "Westlake",
"state": "OH",
"postal_code": "441455219",
"country_code": "US",
"telephone_number": "440-835-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAVEN",
"first_name": "KELSEY",
"middle_name": "R",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-30",
"last_updated": "2025-08-12",
"certification_date": "2021-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "NC",
"license": "202101872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.