Active NPI
Keith Edward Grau, M.D.
- Internal Medicine Physician
- Salem, OR
National Provider Identifier
1790798221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD26789
- Practice address
- 2400 Lancaster Dr NE
Salem, OR 97305-1221 - Phone
- (503) 361-5400
- NPI assigned
- Aug 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD26789 | OR | Primary |
| Internal Medicine Physician | 207R00000X | MD019815E | PA | |
| Internal Medicine Physician | 207R00000X | 11144 | MT | |
| Internal Medicine Physician | 207R00000X | G87852 | CA |
Addresses
Primary practice location
2400 Lancaster Dr NE
Salem, OR 97305-1221
Mailing address
2252 Wildwood Dr SE
Salem, OR 97306-1001
Other names 1
- Keith E Grau
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G87852 | CA | MD | Internal Medicine Physician |
| 11144 | MT | MD | Internal Medicine Physician |
| MD26789 | OR | MD | Internal Medicine Physician |
| MD019815E | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abington Memorial Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Maternal & Fetal Medicine Physician
- Abington, PA
- NPI 1649033069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297900800000",
"number": "1790798221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2252 WILDWOOD DR SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973061001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 LANCASTER DR NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973051221",
"telephone_number": "503-361-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAU",
"first_name": "KEITH",
"middle_name": "EDWARD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2011-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD26789",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD019815E",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MT",
"license": "11144",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G87852",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KEITH",
"last_name": "GRAU",
"middle_name": "E",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.