Individual provider Active NPI

Juliana Ellen Graves, P.A.

  • Physician Assistant
  • Carmel, NY
National Provider Identifier
1790055523
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
015006 Issued in NY
Practice address
664 Stoneleigh Ave Ste 300
Carmel, NY 10512
Phone
(845) 278-8400
Fax
(845) 278-4320
NPI assigned
Jan 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 015006 NY Primary
Physician Assistant 363A00000X 4388 CT

Addresses

Primary practice location

664 Stoneleigh Ave Ste 300
Carmel, NY 10512

Mailing address

664 Stoneleigh Ave
Ste 300
Carmel, NY 10512-3990
Phone (845) 230-5136

Other practice location 1

40 Old Ridgebury Rd Ste 101
Danbury, CT 06810-5119
Phone (845) 278-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120516000308 NY Practitioner - Physician Assistant 6406019199 Reassigns benefits to 2 organizations
I20190326002833 CT Practitioner - Physician Assistant 6406019199 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

45 Reade PL
Poughkeepsie, NY 12601-3947

664 Stoneleigh Ave
Suite 300
Carmel, NY 10512-3990
Phone (845) 278-8400

670 Stoneleigh Ave
Carmel, NY 10512-3997

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
63.01
Promoting interoperability
98
Improvement activities
40
Cost
72.3

Merit-based Incentive Payment System (MIPS)

Final score
48.77 of 100Reported as group
Quality
35.11
Improvement activities
30
Cost
60.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
015006NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Somers Orthopaedic Surgery & Sports Medicine Group PLLC CurrentSince Sep 5, 2018 Accepting new patients
Somers Orthopaedic Surgery & Sports Medicine Group PLLC Physician Assistant CurrentSince Sep 5, 2018 Accepting new patients
Health Quest Medical Practice, PC CurrentSince Nov 18, 2019 Accepting new patients
Somers Orthopaedic Surgery & Sports Medicine Group PLLC Past Accepting new patients

Locations

40 Old Ridgebury Rd
Ste 101
Danbury, CT 06810
Phone (203) 397-6872

664 Stoneleigh Ave
Ste 300
Carmel, NY 10512
Phone 8452788400114

400 Westage Business Ctr Dr
Ste 106
Fishkill, NY 12524
Phone (845) 227-2228

1351 Route 55
Ste 200
Lagrangeville, NY 12540
Phone (845) 475-9622

657 E Main St
Ste 3
Mount Kisco, NY 10549
Phone (914) 471-4777

2 Victory Ct
Newburgh, NY 12550
Phone (845) 522-5480

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

Interoperability endpoints

  • Direct secure messaging: juliana.graves.1@20311.direct.athenahealth.com

Organizations & group practices 6

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.

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": "1326153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1790055523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 STONELEIGH AVE",
            "address_2": "STE 300",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105123990",
            "telephone_number": "845-230-5136",
            "fax_number": "845-278-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 STONELEIGH AVE STE 300",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "10512",
            "telephone_number": "845-278-8400",
            "fax_number": "845-278-4320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Old Ridgebury Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Danbury",
            "state": "CT",
            "postal_code": "068105119",
            "country_code": "US",
            "telephone_number": "845-278-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "JULIANA",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-10",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "015006",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "4388",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, NY

Sources for this page

Verify at the official NPI Registry.