Individual provider Active NPI

Daniel Adam Graubert, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Somersworth, NH
National Provider Identifier
1760418750
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
12414 Issued in NH
Practice address
255 Route 108
Somersworth, NH 03878-1543
Phone
(603) 692-3166
Fax
(603) 692-3168
NPI assigned
Jun 23, 2006
Last updated
Oct 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Anesthesiology) Physician 207LA0401X 12414 NH
Pain Medicine (Anesthesiology) Physician 207LP2900X 12414 NH Primary
Addiction Medicine (Preventive Medicine) Physician 2083A0300X 12414 NH

Addresses

Primary practice location

255 Route 108
Somersworth, NH 03878-1543

Mailing address

61 Beacon St W Ste 4
Laconia, NH 03246-3460
Phone (603) 262-1737

Other identifiers 2

IdentifierTypeStateIssuer
1010715MedicaidVT
30204503MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, ME2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040804000638 NH Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 5193796001 Reassigns benefits to 1 organization
I20241028002987 ME Practitioner - AnesthesiologyPractitioner - Pain Management 5193796001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
New York University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Recover Together IncGroup PAC ID 7810247533, 141 clinicians

Practice addresses (Care Compare)

12 Kingsbury St
Keene, NH 03431-3825
Phone (800) 683-8313

40 Winter St
Suite 204
Rochester, NH 03867-3139
Phone (800) 683-8313

849 Stillwater Ave
Bangor, ME 04401-3624
Phone (800) 683-8313

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12414NHMDAddiction Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recover Together, LLC CurrentSince Oct 1, 2020 Accepting new patients
Recover Together, LLC CurrentSince Oct 1, 2020 Accepting new patients
Upper Valley Neurology Neurosurgery,PC Past Accepting new patients

Locations

Dept CH17590
Palatine, IL 60055

111 S Bedford St
Ste 205
Burlington, MA 01803
Phone (512) 439-3547

849 Stillwater Ave
Bangor, ME 04401
Phone (207) 262-4233

77 Park St
Rockland, ME 04841
Phone (207) 245-7654

31 Hanover St
Lebanon, NH 03766
Phone (603) 727-9071

40 Winter St
Ste 204
Rochester, NH 03867
Phone (603) 556-8892

Organizations & group practices 3

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1760418750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 BEACON ST W STE 4",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463460",
            "telephone_number": "603-262-1737",
            "fax_number": "603-262-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 ROUTE 108",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038781543",
            "telephone_number": "603-692-3166",
            "fax_number": "603-692-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAUBERT",
        "first_name": "DANIEL",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "NH",
            "license": "12414",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NH",
            "license": "12414",
            "primary": true
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "NH",
            "license": "12414",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010715",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30204503",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somersworth, NH

Sources for this page

Verify at the official NPI Registry.