STAFFORD ROBERT GRADY JR. MD
NPI 1003888132
Pediatrics - Pediatric Cardiology in Palo Alto, CA

Q: What is Stafford Grady's NPI number?

The NPI number for Stafford Grady is 1003888132. It was assigned to this individual provider in the NPPES registry on February 2, 2006.

Q: What is Stafford Grady's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Q: When was this NPI record last updated?

The NPPES record for Stafford Grady was last updated on April 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 02, 2006PECOS Enrolled

725 WELCH RD, PALO ALTO, CA 94304(650) 497-8000 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Stafford Robert Grady Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STAFFORD ROBERT GRADY JR. MD (NPI 1003888132) is an individual pediatric cardiology provider in Palo Alto, California, licensed in California (G47262) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003888132

Entity TypeIndividualMale

Primary Taxonomy2080P0202X

Provider Legal NameSTAFFORD ROBERT GRADY JR.Credential: MD

Location Address725 WELCH RDPalo Alto, CA 94304-1601

Mailing Address725 Welch RdPalo Alto, CA 94304-1601 · (650) 497-8000

Phone(650) 497-8000

Sole ProprietorNo

Enumeration DateFebruary 2, 2006

Last NPPES UpdateApril 11, 2024

NPPES CertifiedApril 11, 2024

✔ NPI 1003888132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

License✔ Licensed in CA · G47262

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

Also ListedPediatricsTaxonomy 208000000X · License G47262 (CA)

725 WELCH RD, Palo Alto, CA 94304

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Other Identifiers 1

Medicaid00G472620CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stafford Robert Grady Jr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EIRI INENAGA MS, OTR/L

Occupational Therapist (Pediatrics)