Active NPI
Andrew David Graves, M.D.
- Diagnostic Radiology Physician
- Tamuning, GU
National Provider Identifier
1760696702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- M-1715
- Practice address
- 548 S Marine Corps Dr
Tamuning, GU 96913-3539 - Phone
- (671) 646-5824
- Fax
- (671) 647-3527
- NPI assigned
- May 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | M-1715 | GU | Primary |
Addresses
Primary practice location
548 S Marine Corps Dr
Tamuning, GU 96913-3539
Mailing address
548 S Marine Corps Dr
Tamuning, GU 96913-3539
Phone (671) 646-5824
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GU
- 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 |
|---|---|---|---|---|
| I20130116000148 | GU | Practitioner - Diagnostic Radiology | 4981857398 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Loma Linda University School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Takecare Insurance Company Inc
Practice addresses (Care Compare)
548 S Marine Corps Dr
Tamuning, GU 96913-3539
Phone (671) 646-5825
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Takecare Insurance Company Inc. | Current | Accepting new patients |
Locations
548 S Marine Corps Dr
Tamuning, GU 96913
Phone (671) 646-5824
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 and National Provider Directory roles.
-
- Community Based Hospice Care Agency
- Tamuning, GU
- NPI 1497859565
-
- Home Health Agency
- Tamuning, GU
- NPI 1700979713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560384000000",
"number": "1760696702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "548 S MARINE CORPS DR",
"city": "TAMUNING",
"state": "GU",
"postal_code": "969133539",
"telephone_number": "671-646-5824",
"fax_number": "671-647-3527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "548 S MARINE CORPS DR",
"city": "TAMUNING",
"state": "GU",
"postal_code": "969133539",
"telephone_number": "671-646-5824",
"fax_number": "671-647-3527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAVES",
"first_name": "ANDREW",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-09",
"last_updated": "2019-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GU",
"license": "M-1715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tamuning, GU
- Alexis Rae Garcia Gonzales, RPH
- Jonathan Adrian Gonzalez
- Government of Guam Department of Administration
- Jessica Evelyn Gow-Lee, CNM
- Lorraine Michelle Torres Gozum, PHYSICAL THERAPIST
- Eric Mark Greenfield, D.O
- Brian Wayne Greening, APRN, FNP-BC
- Barbara J Gregory, D.C.
- Robert W Gregory, DC
- Edmund A Griley, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.