DR. ANITA JEANNE MOON-GRADY (M.D.) – Pediatric Cardiology Physician, NPI 1437139060

DR. ANITA JEANNE MOON-GRADY (M.D.) is a healthcare provider. based in Sacramento, California. specializing in PEDIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. G079633 (CA). The NPI Number for DR. ANITA JEANNE MOON-GRADY (M.D.) is 1437139060

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANITA JEANNE MOON-GRADY (M.D.)
NPI
1437139060
Phone
(916) 734-5470
Address
2516 STOCKTON BLVD
Enumeration Date
19 January 2006
Last Update Date
12 October 2007

Doctor Profile

Medical School Name
STANFORD UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4154761000
Graduation Year
1993 (33 years ago)
PAC ID
9133207442
Group Practice PAC ID
4486567229
Professional Enrollment ID
I20080425000502
Address ID
CA941430810SA400XXAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,386 PEDIATRIC MEDICINE in CA

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Provider Addresses for DR. ANITA JEANNE MOON-GRADY (M.D.)

  • 2516, Stockton Boulevard, Sacramento, Sacramento County, California, 95817, United States

    SACRAMENTO, CA 958172208

    Phone: (916) 734-5470

    Fax: (916) 734-0424

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $36.

Total Amount is formed as General ($36) + Research ($0) + Ownership ($0) = $36.

Last reported payment date: 2023-08-09 • Largest payer in this snapshot: Baxter Healthcare ($36).

Total Amount

$36

General + Research + Ownership

Payments

1

Total payment records

General Amount

$36

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Baxter Healthcare$36
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-04-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080425000502IPediatric MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95817)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486567229View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to DR. ANITA JEANNE MOON-GRADY (M.D.)?
NPI 1437139060 is assigned to DR. ANITA JEANNE MOON-GRADY (M.D.) under the national enumeration system.
Is DR. ANITA JEANNE MOON-GRADY (M.D.) active in the national directory?
DR. ANITA JEANNE MOON-GRADY (M.D.)'s public NPI profile is in an active state.
Can you summarize DR. ANITA JEANNE MOON-GRADY (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. ANITA JEANNE MOON-GRADY (M.D.) with Pediatric Cardiology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. ANITA JEANNE MOON-GRADY (M.D.)'s primary listing?
We display Sacramento, California because that is what the record indicates for DR. ANITA JEANNE MOON-GRADY (M.D.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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