Individual provider Active NPI

Kelsey R Graven, D.O.

  • Allergy & Immunology Physician
  • Raleigh, NC
National Provider Identifier
1679921779
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
202101872 Issued in NC
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

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

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/ImmunologyAlso: Internal Medicine
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 28 clinicians

Practice addresses (Care Compare)

3010 Anderson Dr
Raleigh, NC 27609-7798
Phone (919) 787-7171

Hospital & facility affiliations

  • Rex Hospital Hospital, Raleigh, NC, CCN 340114

Merit-based Incentive Payment System (MIPS)

Final score
89.65 of 100Reported as group
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210824001632 NC Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 3274820303 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202101872NCMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Capitol Ear, Nose, and Throat CurrentSince Sep 1, 2021 Accepting new patients
Allergy Immunology Associates Inc Allergy & Immunology CurrentSince Jun 1, 2020 Accepting new patients
The Metrohealth System Current Accepting new patients
Capitol Ear, Nose & Throat PastSince Sep 1, 2021 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

  • Direct secure messaging: kgraven190239@direct.metrohealth.org
  • Direct secure messaging: 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

Verify at the official NPI Registry.