Individual provider Active NPI

Nathan Adam Graves, M.D.

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1992705768
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M1116 Issued in TX
Practice address
4534 W Gate Blvd Ste 113
Austin, TX 78745-1470
Phone
(512) 394-6020
Fax
(512) 350-2825
NPI assigned
Jul 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M1116 TX Primary

Addresses

Primary practice location

4534 W Gate Blvd Ste 113
Austin, TX 78745-1470

Mailing address

125 S Clark St Ste 900
Chicago, IL 60603-4043
Phone (512) 988-5355

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nathan.graves.1@13711.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20051115000487 TX Practitioner - Family Practice 3779502158 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Southwestern Medical School at Dallas, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Physicians PLLCGroup PAC ID 2567717713, 6 clinicians
VMD Primary Providers of South Central Texas PLLCGroup PAC ID 7911337472, 27 clinicians

Practice addresses (Care Compare)

115 Kohlers Xing
Suite 450
Kyle, TX 78640-2464
Phone (512) 697-7090

720 W 34TH St
Suite 100
Austin, TX 78705-1241
Phone (512) 988-5355

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Steven K. Booton, M.D., P.a. CurrentSince Mar 1, 2022 Accepting new patients
Thrive Physicians PLLC CurrentSince Sep 15, 2025 Accepting new patients
VMD Primary Providers of South Central Texas PLLC Family Medicine CurrentSince Mar 1, 2022 Accepting new patients
Vpa of Texas PLLC Past Accepting new patients
Graves Medical PLLC Family Medicine PastSince Sep 15, 2025 Accepting new patients

Locations

125 S Clark St
Ste 900
Chicago, IL 60603
Phone (346) 980-2701

4534 West Gate Blvd
Austin, TX 78745
Phone (512) 358-0520

4534 West Gate Blvd
Ste 113
Austin, TX 78745
Phone (512) 394-6020

2217 Park Bend Dr
Ste 210
Austin, TX 78758
Phone (512) 697-7090

720 W 34th St
Ste 100
Austin, TX 78705
Phone (512) 381-5599

9055 Katy Fwy
Ste 200
Houston, TX 77024
Phone (346) 980-2701

115 Kohlers Xing
Ste 450
Kyle, TX 78640
Phone (512) 697-7090

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1992705768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S CLARK ST STE 900",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606034043",
            "telephone_number": "512-988-5355",
            "fax_number": "512-323-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4534 W GATE BLVD STE 113",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451470",
            "telephone_number": "512-394-6020",
            "fax_number": "512-350-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "NATHAN",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M1116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nathan.graves.1@13711.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Village Medical Texas",
            "address_1": "4534 W Gate Blvd Ste 113",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787451470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.