Active NPI
Michael John Grafe, D.O.
- Family Medicine Physician
- Artesia, NM
National Provider Identifier
1992702872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A718-81
- Practice address
- 301 S Roselawn Ave
Artesia, NM 88210-2462 - Phone
- (575) 746-3616
- Fax
- (575) 748-2544
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A718-81 | NM | Primary |
Addresses
Primary practice location
301 S Roselawn Ave
Artesia, NM 88210-2462
Mailing address
301 S Roselawn Ave
Artesia, NM 88210-2462
Phone (575) 746-3616
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E5108 | Medicaid | NM | |
| NM004243 | Other | NM | BCBS |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A718-81 | NM | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zencare Family Wellness LLC | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/25994/brand/1/csg/1/fhir/r4
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.
-
- Family Medicine Physician
- Artesia, NM
- NPI 1043950736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204156800000",
"number": "1992702872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 S ROSELAWN AVE",
"city": "ARTESIA",
"state": "NM",
"postal_code": "882102462",
"telephone_number": "575-746-3616",
"fax_number": "575-748-2544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 S ROSELAWN AVE",
"city": "ARTESIA",
"state": "NM",
"postal_code": "882102462",
"telephone_number": "575-746-3616",
"fax_number": "575-748-2544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAFE",
"first_name": "MICHAEL",
"middle_name": "JOHN",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2008-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "A718-81",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "E5108",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "NM004243",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Artesia, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.