STAFFORD ROBERT GRADY JR. MD
NPI 1003888132
Pediatrics - Pediatric Cardiology in Palo Alto, CA
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 and maintains a secondary practice location in Stanford.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stafford Robert Grady Jr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Stafford Grady reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Palo Alto, CA 94304
- Reassigned Medicare billing, California enrollment
- 3,617 clinicians in this Medicare group
Crescent City, CA 95531
- Reassigned Medicare billing, California enrollment
- 36 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
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.
Where is Stafford Grady located?
Stafford Grady practices at 725 Welch Rd, Palo Alto, CA 94304. The listed phone number is (650) 497-8000.
What is Stafford Grady's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.
Is Stafford Grady enrolled in Medicare?
Yes. Stafford Grady is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Stafford Grady's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stafford Grady reassigns Medicare benefits to 2 organizations: Lpch Medical Group Div Of Lucile (Palo Alto, CA) and Sutter Coast Hospital (Crescent City, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stafford Grady's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Stafford Robert Grady Jr., MD · NPI 1003888132
Pediatric Cardiology physician in Palo Alto, California. Individual provider, active in the CMS NPPES registry since February 2, 2006.
## Identity
- **NPI:** 1003888132 (Entity type: Individual)
- **Enumerated:** February 2, 2006
- **Primary specialty:** Pediatrics - Pediatric Cardiology · taxonomy 2080P0202X
- **State license:** G47262 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 725 WELCH RD, Palo Alto, CA 94304-1601
- **Phone:** (650) 497-8000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Lpch Medical Group Div Of Lucile (NPI 1417907940, Palo Alto, CA); Sutter Coast Hospital (NPI 1457367062, Crescent City, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 11, 2024
- **Other identifiers:** Medicaid 00G472620 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1003888132) · Data from the CMS NPPES public registry.