Individual provider Active NPI

Graeme Stuart McHenry, D.O.

  • Family Medicine Physician
  • Healdsburg, CA
National Provider Identifier
1861809683
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A17770 Issued in CA
Practice address
1375 University St
Healdsburg, CA 95448-3382
Phone
(707) 431-6500
NPI assigned
Jul 14, 2014
Last updated
Mar 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 20A17770 CA
Family Medicine Physician 207Q00000X 20A17770 CA Primary

Addresses

Primary practice location

1375 University St
Healdsburg, CA 95448-3382

Mailing address

One Medical Center Drive, Rowansom,
Suite 162
Stratford, NJ 08084-2655
Phone (856) 566-6708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200224002161 CA Practitioner - Emergency Medicine 3678874534 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Napa Valley Emergency Medical GroupGroup PAC ID 5698664977, 21 clinicians

Practice addresses (Care Compare)

347 Andrieux St
Sonoma, CA 95476-6811
Phone (707) 935-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.9 of 100Reported as group
Quality
81.89
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.83 of 100Reported as group
Quality
91.31
Improvement activities
40
Cost
79.05

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17770CAMDFamily Medicine Physician
20A17770CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norcal Healthconnect LLC CurrentSince Feb 19, 2024 Accepting new patients
Napa Valley Emergency Medical Group Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Sonoma Valley Emergency Physicians Medical Group, Inc Emergency Medicine CurrentSince Jan 11, 2020 Accepting new patients
Norcal Healthconnect LLC Current Accepting new patients
Norcal Healthconnect LLC Current Accepting new patients

Locations

1375 University St
Healdsburg, CA 95448
Phone (707) 385-2025

1000 Trancas St
Napa, CA 94558
Phone (707) 226-2901

110 Lynch Creek Way
#B
Petaluma, CA 94954
Phone (707) 522-4348

400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111

347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000

Organizations & group practices 5

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": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1861809683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE MEDICAL CENTER DRIVE, ROWANSOM,",
            "address_2": "SUITE 162",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080842655",
            "telephone_number": "856-566-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 UNIVERSITY ST",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954483382",
            "telephone_number": "707-431-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCHENRY",
        "first_name": "GRAEME",
        "middle_name": "STUART",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "20A17770",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A17770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Healdsburg, CA

Sources for this page

Verify at the official NPI Registry.