Individual provider Active NPI

Estella F. Graeffe, MD

  • Radiation Oncology Physician
  • King of Prussia, PA
National Provider Identifier
1750332300
Registry record updated Jun 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD023032E Issued in PA
Practice address
211 S Gulph Rd Ste 200
King of Prussia, PA 19406-3101
Phone
(610) 382-5900
Fax
(610) 382-5919
NPI assigned
May 16, 2006
Last updated
Jun 1, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MD023032E PA Primary
Diagnostic Radiology Physician 2085R0202X MD023032E PA
Therapeutic Radiology Physician 2085R0203X MD023032E PA

Addresses

Primary practice location

211 S Gulph Rd Ste 200
King of Prussia, PA 19406-3101

Mailing address

211 S Gulph Rd
Suite 200
King of Prussia, PA 19406-3101
Phone (610) 382-5900

Other identifiers 13

IdentifierTypeStateIssuer
0061867000OtherPAIBC - PC/KHPE
4100067OtherPAAETNA PPO
0098332501OtherPAAMERICHOICE (UHC MA PLAN)
7162918OtherPACIGNA HMO/PPO
0061867000OtherPAAMERIHEALTH/INTERCOUNTY
031534OtherPAAETNA HMO
350716OtherPAPHCS
0309630MedicaidNJ
1030045OtherPAKEYSTONE MERCY (MA)
000983325MedicaidPA
25096-MD023032EOtherPAHEALTH PARTNERS
360001506OtherPARRM
111167OtherPAHIGHMARK BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20101206000181 PA Practitioner - Radiation Oncology 0840487799 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD023032EPAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physician Services, PC CurrentSince Apr 20, 2017 Accepting new patients
Alliance Physician Services, PC CurrentSince Apr 20, 2017 Accepting new patients
Alliance Physician Services, PC Current Accepting new patients
Fornance Physician Services, Inc. Radiation Oncology Past Accepting new patients
Fornance Physician Services, Inc. Past Accepting new patients

Locations

919 Conestoga Rd
Bldg 1
Bryn Mawr, PA 19010
Phone (610) 525-6400

211 S Gulph Rd
Ste 200
Kng of Prussa, PA 19406
Phone (610) 382-5910

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496275200000",
    "number": "1750332300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S GULPH RD",
            "address_2": "SUITE 200",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063101",
            "telephone_number": "610-382-5900",
            "fax_number": "610-382-5919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S GULPH RD STE 200",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063101",
            "telephone_number": "610-382-5900",
            "fax_number": "610-382-5919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAEFFE",
        "first_name": "ESTELLA",
        "middle_name": "F.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2017-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MD023032E",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD023032E",
            "primary": false
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "PA",
            "license": "MD023032E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC - PC/KHPE",
            "identifier": "0061867000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "4100067",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE (UHC MA PLAN)",
            "identifier": "0098332501",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HMO/PPO",
            "identifier": "7162918",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH/INTERCOUNTY",
            "identifier": "0061867000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "031534",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "350716",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0309630",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY (MA)",
            "identifier": "1030045",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000983325",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "25096-MD023032E",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRM",
            "identifier": "360001506",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "111167",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

Verify at the official NPI Registry.