Individual provider Active NPI

Clarisa R Gracia, MD

  • Reproductive Endocrinology Physician
  • Philadelphia, PA
National Provider Identifier
1811923055
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
MD070662L Issued in PA
Practice address
800 Walnut St FL 10
Philadelphia, PA 19107-5176
Phone
(215) 829-2345
Fax
(215) 829-3365
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD070662L PA
Reproductive Endocrinology Physician 207VE0102X MD070662L PA Primary

Addresses

Primary practice location

800 Walnut St FL 10
Philadelphia, PA 19107-5176

Mailing address

800 Walnut St FL 10
Philadelphia, PA 19107-5176
Phone (215) 829-2345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 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
I20040716000917 PA Practitioner - Obstetrics/Gynecology 9032198635 Reassigns benefits to 2 organizations
I20250725000364 NJ Practitioner - Obstetrics/Gynecology 9032198635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

145 King of Prussia Rd
Radnor, PA 19087-4557

145 King of Prussia Rd 201
Radnor, PA 19087-4557

145 King of Prussia Rd 203
Radnor, PA 19087-4557

145 King of Prussia Rd 302
GYN/Onc Radnor
Radnor, PA 19087-4557
Phone (610) 902-2500

145 King of Prussia Rd N
G102 Oto Surgery Radnor
Philadelphia, PA 19087-4557
Phone (610) 902-5500

145 King of Prussia Rd N G
1 Rad Onc Rdanor
Radnor, PA 19087-4557
Phone (610) 902-4580

145 King of Prussia Road G-103
Oral/Maxillo Surg Radnor
Radnor, PA 19087-4557
Phone (610) 902-2100

3400 Civic Ctr Blvd
Penn Medicine Orthopaedic Perelman
Philadelphia, PA 19104-5137
Phone (215) 349-8200

3400 Spruce St
Philadelphia, PA 19104-4206

3400 Spruce Street 5 White BLDG
Oral and Maxillofacial Surgery Hup
Philadelphia, PA 19104-4206
Phone (215) 829-6079

3701 Market St
7TH and 8TH Floor Penn Fertility Care
Philadelphia, PA 19104-5502
Phone (215) 662-6100

3701 Market St 3Rd Floor
Penn OB/GYN Associates
Philadelphia, PA 19104-5502
Phone (215) 662-6035

Hospital & facility affiliations

  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD070662LPAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group CurrentSince May 1, 2015 Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. Obstetrics & Gynecology CurrentSince Jul 2, 2025 Accepting new patients
University of Penn-Medical Group CurrentSince May 1, 2015 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Jul 2, 2025 Accepting new patients
Lanaster General Hospital Obstetrics & Gynecology CurrentSince Jul 20, 2020 Accepting new patients
Lancaster General Hospital CurrentSince Jul 20, 2020 Accepting new patients
Lancaster General Hospital Current Accepting new patients
University of Penn - Medical Group Past Accepting new patients
Lancaster General Medical Group Past Accepting new patients

Locations

350 Forsgate Dr
Ste 103
Monroe Twp, NJ 08831
Phone (609) 831-0779

5 Plainsboro Rd
Ste 180
Plainsboro, NJ 08536
Phone (215) 662-2970

1 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 853-7000

2112 Harrisburg Pike
Ste 110
Lancaster, PA 17601
Phone (617) 840-4786

800 Walnut St
Fl 11
Philadelphia, PA 19107
Phone (215) 573-8886

501 S 54th St
Philadelphia, PA 19143
Phone (215) 581-2046

3701 Market St
Fl 7
Philadelphia, PA 19104
Phone (215) 349-5200

3701 Market St
Fl 3
Philadelphia, PA 19104
Phone (215) 662-6035

3400 Spruce St
#1W
Philadelphia, PA 19104
Phone (215) 662-2730

801 Spruce St
Fl 7
Philadelphia, PA 19107
Phone (215) 829-2345

800 Walnut St
Fl 10
Philadelphia, PA 19107
Phone (215) 829-2345

317 Chestnut St
Quarryville, PA 17566
Phone (717) 544-3555

250 King of Prussia Rd
Radnor, PA 19087
Phone (610) 902-1800

145 King of Prussia Rd
Ste 303
Wayne, PA 19087

145 King of Prussia Rd
Ste 302
Wayne, PA 19087
Phone (610) 902-2500

Interoperability endpoints

  • Direct secure messaging: cgracia220460@direct-lghealth.org

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1811923055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WALNUT ST FL 10",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075176",
            "telephone_number": "215-829-2345",
            "fax_number": "215-829-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WALNUT ST FL 10",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075176",
            "telephone_number": "215-829-2345",
            "fax_number": "215-829-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACIA",
        "first_name": "CLARISA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD070662L",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "PA",
            "license": "MD070662L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.