Individual provider Active NPI

Stanley Cecil Graves, MD

  • Orthopaedic Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1992721914
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
22387 Issued in AZ
Practice address
5080 N 40TH St Ste 103
Phoenix, AZ 85018-2158
Phone
(602) 952-8111
NPI assigned
Jul 14, 2006
Last updated
Aug 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 22387 AZ Primary

Addresses

Primary practice location

5080 N 40TH St Ste 103
Phoenix, AZ 85018-2158

Mailing address

3104 E Camelback Rd
Ste 1003
Phoenix, AZ 85016-4502
Phone (602) 952-8111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20120313000809 AZ Practitioner - Orthopedic Surgery 1456337195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Tennessee, HSC, College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5080 N 40TH St
Suite 103
Phoenix, AZ 85018-2158
Phone (602) 952-8111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue1-10
Removal or shaving of skin growth12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22387AZMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Orthopedics of Arcadia PLLC Orthopaedic Surgery CurrentSince May 31, 2024 Accepting new patients
Holliday Horizons LLC Orthopaedic Surgery Current Accepting new patients
Stanley C Graves M D PC Orthopaedic Surgery CurrentSince Feb 1, 2003 Accepting new patients
Institute for Bone and Joint Disorders PC Orthopaedic Surgery Past Accepting new patients

Locations

2222 E Highland Ave
Ste 400
Phoenix, AZ 85016
Phone (480) 767-2130

2222 E Highland Ave
Ste 425
Phoenix, AZ 85016
Phone (602) 667-6640

3104 E Camelback Rd
Phoenix, AZ 85016
Phone (888) 888-9930

3627 E Indian School Rd
Ste 103
Phoenix, AZ 85018
Phone (602) 281-3500

4440 N 36th St
Ste 100
Phoenix, AZ 85018
Phone (602) 952-8111

4440 N 36th St
Ste 120
Phoenix, AZ 85018
Phone (602) 952-8111

5080 N 40th St
Ste 103
Phoenix, AZ 85018
Phone (480) 772-2453

Organizations & group practices 4

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 1

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1992721914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 E CAMELBACK RD",
            "address_2": "STE 1003",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164502",
            "telephone_number": "602-952-8111",
            "fax_number": "602-952-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5080 N 40TH ST STE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182158",
            "telephone_number": "602-952-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "STANLEY",
        "middle_name": "CECIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "22387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.