Individual provider Active NPI

Anna Graeff

  • Pediatrics Physician
  • Iowa City, IA
National Provider Identifier
1952093767
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
R-12736 Issued in IA
Practice address
1902 Sherman Dr
Iowa City, IA 52240-4718
Phone
(641) 680-2809
NPI assigned
May 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X R-12736 IA Primary

Addresses

Primary practice location

1902 Sherman Dr
Iowa City, IA 52240-4718

Mailing address

1902 Sherman Dr
Iowa City, IA 52240-4718
Phone (641) 680-2809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20230713002524 IA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 2769842434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1952093767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 SHERMAN DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522404718",
            "telephone_number": "641-680-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 SHERMAN DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522404718",
            "telephone_number": "641-680-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAEFF",
        "first_name": "ANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IA",
            "license": "R-12736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.