STEFAN GRAVENSTEIN MD
NPI 1447224191
Family Medicine - Geriatric Medicine in Providence, RI

Active since February 16, 2006
593 EDDY ST, PROVIDENCE, RI 02903(401) 444-5248(401) 444-3397 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 6, 2026, Nov 25, 2019 (2 updates tracked since 2019).

About Stefan Gravenstein Md NPPES

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

STEFAN GRAVENSTEIN MD (NPI 1447224191) is an individual geriatric medicine provider in Providence, Rhode Island, licensed in Rhode Island (MD12353) and active in the NPI registry since February 2006. He maintains a secondary practice location in Riverside.

NPPES Registry Identity

NPI1447224191
Entity TypeIndividualMale
Primary Taxonomy207QG0300X
Provider Legal NameSTEFAN GRAVENSTEINCredential: MD
Location Address593 EDDY STProvidence, RI 02903
Mailing Address15 La Salle SqProvidence, RI 02903-1814 · (401) 444-6779 · Fax (401) 444-6912
Fax(401) 444-3397
Sole ProprietorNo
Enumeration DateFebruary 16, 2006
Last NPPES UpdateMarch 6, 20262 updates tracked since enumeration
NPPES CertifiedMarch 6, 2026
NPI 1447224191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License Licensed in RI · MD12353
Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License MD12353 (RI)
593 EDDY ST, Providence, RI 02903

Secondary Practice Location 1

Location 1375 Wampanoag TrlRiverside, RI 02915-2232 · Phone (401) 649-4010 · Fax (401) 649-4011

Other Identifiers 1

Medicaid1447224191RI

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.

Anesthesiology
593 EDDY ST, APC 6
PROVIDENCE, RI 02903
Surgery
593 EDDY ST
PROVIDENCE, RI 02903
General Acute Care Hospital
593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903
Pathology (Anatomic Pathology & Clinical Pathology)
593 EDDY ST
PROVIDENCE, RI 02903
Psychiatry & Neurology (Neurology)
593 EDDY ST
PROVIDENCE, RI 02903
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Physician Assistant
593 EDDY ST
PROVIDENCE, RI 02903
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903

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 Stefan Gravenstein's NPI number?

The NPI number for Stefan Gravenstein is 1447224191. It was assigned to this individual provider in the NPPES registry on February 16, 2006.

Where is Stefan Gravenstein located?

Stefan Gravenstein practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-5248.

What is Stefan Gravenstein's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

When was this NPI record last updated?

The NPPES record for Stefan Gravenstein was last updated on March 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.