Active NPI
Robert F Graves, MD
- Urology Physician
- Sidney, NE
National Provider Identifier
1992886212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 21510
- Practice address
- 1000 Pole Creek Xing
Sidney, NE 69162-2901 - Phone
- (308) 254-5825
- Fax
- (970) 347-8865
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 21510 | NE | Primary |
Addresses
Primary practice location
1000 Pole Creek Xing
Sidney, NE 69162-2901
Mailing address
PO Box 202
Sidney, NE 69162-0202
Phone (308) 641-2101
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025486400 | Medicaid | NE | |
| 115539300 | Medicaid | WY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14303 | AZ | MD | Pharmacotherapy Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cheyenne County Hospital Association Inc | Current | Accepting new patients | |
| Cheyenne County Hospital Association | Current | Accepting new patients | |
| Regional West Physicians Clinic | Urology | Past | Accepting new patients |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients | |
| Regional West Physicians Clinic | Past | Accepting new patients |
Locations
645 Osage St
Sidney, NE 69162
Phone (308) 254-5825
1000 Pole Creek Xing
Sidney, NE 69162
Phone (308) 254-5825
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.
-
- Critical Access Hospital
- Sidney, NE
- NPI 1487736963
-
- Specialty Pharmacy
- Sidney, NE
- NPI 1558077396
-
- Rural Health Clinic/Center
- Mitchell, NE
- NPI 1992703425
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487030400000",
"number": "1992886212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 202",
"city": "SIDNEY",
"state": "NE",
"postal_code": "691620202",
"telephone_number": "308-641-2101",
"fax_number": "970-347-8865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 POLE CREEK XING",
"city": "SIDNEY",
"state": "NE",
"postal_code": "691622901",
"telephone_number": "308-254-5825",
"fax_number": "970-347-8865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAVES",
"first_name": "ROBERT",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2017-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NE",
"license": "21510",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025486400",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115539300",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sidney, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.