Active NPI
Jacqueline L. Graber, M.D.
- Anesthesiology Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 01048921A
- Practice address
- 8040 Clearvista Pkwy
Indianapolis, IN 46256-5630 - Phone
- (317) 567-2179
- Fax
- (317) 567-2191
- NPI assigned
- Sep 14, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 01048921A | IN | Primary |
Addresses
Primary practice location
8040 Clearvista Pkwy
Indianapolis, IN 46256-5630
Mailing address
PO Box 6005
Dept 196
Indianapolis, IN 46206-6005
Phone (317) 567-2180
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200329810 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Indiana University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2651 E Discovery Pkwy
Bloomington, IN 47408-9059
Phone (812) 353-9147
4105 Dicke Rd
Fort Wayne, IN 46804-6135
Phone (260) 268-1000
Hospital & facility affiliations
- Indiana University Health Bloomington Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 67.76 of 100
- Quality
- 62.07
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bloomington Anesthesiologists PC | Anesthesiology | Current | Accepting new patients |
| Aas Indiana LLC | Anesthesiology | Current | Accepting new patients |
| Daviess County Hospital | Current | Accepting new patients | |
| Daviess County Hospital | Current | Accepting new patients | |
| Associated Anesthesiologists of Fort Wayne PC | Anesthesiology | Current | Accepting new patients |
| Daviess County Hospital | Current | Accepting new patients | |
| Riverview Anesthesiologists, PC | Anesthesiology | Past | Accepting new patients |
Locations
1316 E 7th St
Auburn, IN 46706
Phone (260) 925-4600
2651 E Discovery Pkwy
Bloomington, IN 47408
Phone (812) 353-9147
10300 N Illinois St
Ste 1300
Carmel, IN 46290
Phone (317) 688-3690
6435 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 436-7875
4105 Dicke Rd
Fort Wayne, IN 46804
Phone (260) 268-1000
2520 E DuPont Rd
Fort Wayne, IN 46825
Phone (219) 407-8000
10315 Dawsons Creek Blvd
Ste Ab
Fort Wayne, IN 46825
Phone (219) 436-7875
5734 Coventry Ln
Fort Wayne, IN 46804
Phone (219) 436-7875
2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111
2101 Dubois Dr
Warsaw, IN 46580
Phone (219) 267-3200
1314 E Walnut St
Washington, IN 47501
Phone (812) 254-2250
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Bloomington, IN
- NPI 1912951054
-
- Anesthesiology Physician
- Fort Wayne, IN
- NPI 1538159140
-
- General Acute Care Hospital
- Washington, IN
- NPI 1619154820
-
- Orthopaedic Surgery Physician
- Washington, IN
- NPI 1083915326
-
- Rural Health Clinic/Center
- Montgomery, IN
- NPI 1336959279
-
- Anesthesiology Physician
- Noblesville, IN
- NPI 1558552984
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bloomington, IN
- NPI 1205860335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251331200000",
"number": "1952396079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6005",
"address_2": "DEPT 196",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462066005",
"telephone_number": "317-567-2180",
"fax_number": "317-567-2191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8040 CLEARVISTA PKWY",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462565630",
"telephone_number": "317-567-2179",
"fax_number": "317-567-2191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRABER",
"first_name": "JACQUELINE",
"middle_name": "L.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-14",
"last_updated": "2009-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "01048921A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200329810",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.