Individual provider Active NPI

Benjamin Graboyes, M.D.

  • Emergency Medicine Physician
  • Charlotte, NC
National Provider Identifier
1720424807
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
192581 Issued in NC
Practice address
1000 Blythe Blvd
Meb 3
Charlotte, NC 28203-5812
Phone
(704) 355-2000
NPI assigned
May 16, 2013
Last updated
Jan 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MC-1800 ID
Emergency Medicine Physician 207P00000X 192581 NC Primary

Addresses

Primary practice location

1000 Blythe Blvd
Meb 3
Charlotte, NC 28203-5812

Mailing address

1000 Blythe Blvd
Meb 3
Charlotte, NC 28203-5812

Other practice location 1

190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-8749

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, WI, ID3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160617000159 TN Practitioner - Emergency Medicine 2264723519 Reassigns benefits to 2 organizations
I20180615000361 WI Practitioner - Emergency Medicine 2264723519 Reassigns benefits to 9 organizations
I20230120002540 ID Practitioner - Emergency Medicine 2264723519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Virginia Commonwealth University, School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Clinic-Treasure Valley LLCGroup PAC ID 4981878402, 1,155 clinicians

Practice addresses (Care Compare)

190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-9384

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.15 of 100Reported as group
Quality
73.7
Promoting interoperability
100
Improvement activities
40
Cost
76.71

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
81.29
Promoting interoperability
100
Improvement activities
40
Cost
76.37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MC-1800IDMDEmergency Medicine Physician
192581NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jul 12, 2022 Accepting new patients
MCHS Hospitals Inc Emergency Medicine Current Accepting new patients
Flambeau Hospital Inc CurrentSince Jul 12, 2022 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. Current Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jul 12, 2022 Accepting new patients
St Lukes Clinic-Treasure Valley LLC Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Aspirus Eagle River Hospital & Clinics, Inc. Current Accepting new patients
Memorial Hospital Inc CurrentSince Jul 12, 2022 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Mar 1, 2017 Accepting new patients
Tennessee River Physicians, PLLC Emergency Medicine Current Accepting new patients
MCHS Hospitals Inc CurrentSince Jul 12, 2022 Accepting new patients
Tennessee River Physicians, PLLC Emergency Medicine CurrentSince May 1, 2017 Accepting new patients
Flambeau Hospital Inc CurrentSince Jul 12, 2022 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jul 12, 2022 Accepting new patients
Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin Current Accepting new patients
Marshfield Clinic Inc CurrentSince Jul 12, 2022 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jul 12, 2022 Accepting new patients
MCHS Hospitals Inc CurrentSince Jul 12, 2022 Accepting new patients
Tennessee Em-I Medical Services, PC Emergency Medicine Past Accepting new patients

Locations

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

29980 Network Pl
Chicago, IL 60673

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

16931 Rankin Ave
Dunlap, TN 37327
Phone (423) 949-5100

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

112 E 5th Ave
Antigo, WI 54409
Phone (715) 623-2331

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

201 Hospital Rd
Eagle River, WI 54521
Phone (715) 477-3000

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

135 S Gibson St
Medford, WI 54451
Phone (715) 748-8100

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

601 S Center Ave
Merrill, WI 54452
Phone (715) 536-5511

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

410 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-5257

240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000

Interoperability endpoints

  • Direct secure messaging: benjamin.graboyes@marshfieldclinichealthsystem.cernerdirect.com
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/67ff075a-8289-4f2d-a8eb-5dc1f0d954ab/

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 20

Hospital & facility affiliations 3

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": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1720424807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BLYTHE BLVD",
            "address_2": "MEB 3",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BLYTHE BLVD",
            "address_2": "MEB 3",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035812",
            "telephone_number": "704-355-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 E Bannock St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837126241",
            "country_code": "US",
            "telephone_number": "208-381-8749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRABOYES",
        "first_name": "BENJAMIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-16",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ID",
            "license": "MC-1800",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "192581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.