Graceway Health Care LLC · Internal Medicine Physician

1525 N Rolling Rd, Catonsville, MD 21228-1100

Overview

Graceway Health Care LLC is a Internal Medicine Physician (organization) practicing in Catonsville, Maryland. The National Provider Identifier (NPI) is #1952243636, which was assigned on April 9, 2026, and the registration record was last updated on April 9, 2026. The practitioner's main practice location is at 1525 N Rolling Rd, Catonsville, MD 21228-1100; the contact telephone number is 4104021200. The primary taxonomy of Graceway Health Care LLC is Internal Medicine Physician (207R00000X). The authorized official for Graceway Health Care LLC is Krystle D Brown (Billing Manager).

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Provider Information

NPI 1952243636
Entity Type Organization
Organization Name GRACEWAY HEALTH CARE LLC
Provider Name GRACEWAY HEALTH CARE LLC
Practice Address 1525 N Rolling Rd
Catonsville
MD 21228-1100
Practice Telephone 4104021200
Mailing Address 10259 Cabery Rd
Ellicott City
MD 21042-1605
Certification Date 2026-04-09
Enumeration Date 2026-04-09
Last Update Date 2026-04-09
Is Organization Subpart N

Authorized Official Information

Official Name KRYSTLE D BROWN
Official Title BILLING MANAGER
Telephone 4108006251

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y207R00000XInternal Medicine193200000X MULTI-SPECIALTY GROUP

Providers with the same name

Provider NameAddressTaxonomyEnumeration Date
Graceway Health Care LLC 2700 Southaven Rd, Annapolis, MD 21401-7122Internal Medicine Physician2025-12-01
Graceway Health Care LLC 10259 Cabery Rd, Ellicott City, MD 21042-1605Endocrinology, Diabetes & Metabolism Physician2026-03-16
Graceway Health Care LLC 2700 Southaven Rd, Annapolis, MD 21401-7122Internal Medicine Physician2025-11-10

Taxonomy Information

Primary Taxonomy

Code 207R00000X
Taxonomy Internal Medicine Physician
Classification Internal Medicine
Grouping Allopathic & Osteopathic Physicians
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

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Location Information

Street Address 1525 N ROLLING RD
City CATONSVILLE
State MD
Zip Code 21228-1100
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Integrahealth LLC 1525 N Rolling Rd, Catonsville, MD 21228-1100Psychiatric/Mental Health Nurse Practitioner2025-09-30
Bridginglife, Inc. 1525 N Rolling Rd, Catonsville, MD 21228-1100Hospice and Palliative Medicine (Family Medicine) Physician2025-04-07

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Claire Ehr 5740 Executive Dr Ste 108, Catonsville, MD 21228-1331Counselor2025-08-06
Nagnouma Sako 5740 Executive Dr Ste 108, Catonsville, MD 21228-1331Mental Health Counselor2026-03-23
Sam's Club Optical 5702 Baltimore National Pike, Catonsville, MD 21228-1306Optician2006-09-28
Process of Changes 1000 Ingleside Ave Fl 1, Catonsville, MD 21228-1317Mental Health Clinic/Center (Including Community Mental Health Center)2020-03-12
Mai Therapeutic Solutions, LLC 1000 Ingleside Ave, Catonsville, MD 21228-1317Clinical Social Worker2023-01-02
Brittany Grooms 5740 Executive Dr Ste 108, Catonsville, MD 21228-1331Mental Health Counselor2026-01-06
Process of Changes 1000 Ingleside Ave Fl 1, Catonsville, MD 21228-1317Mental Health Clinic/Center (Including Community Mental Health Center)2019-10-04
Process of Changes 1000 Ingleside Ave Fl 1, Catonsville, MD 21228-1317Community Health Clinic/Center2019-04-17
Process of Changes 1000 Ingleside Ave Fl 1, Catonsville, MD 21228-1317Recovery Care Clinic/Center2019-10-04
Rosalee Sturdivant 5740 Executive Dr Ste 108, Catonsville, MD 21228-1331Mental Health Counselor2025-12-16
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.