DR. ALEXANDRA ROSE GRADEN (M.D.) – Allergy & Immunology Physician, NPI 1619355625

DR. ALEXANDRA ROSE GRADEN (M.D.) is a healthcare provider. based in New haven, Connecticut. specializing in ALLERGY/IMMUNOLOGY. They hold the professional credentials M.D.. They hold a License No. 63801 (MN). The NPI Number for DR. ALEXANDRA ROSE GRADEN (M.D.) is 1619355625

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALEXANDRA ROSE GRADEN (M.D.)
NPI
1619355625
Phone
(203) 688-1946
Address
333 Cedar Street
Enumeration Date
11 May 2015
Last Update Date
9 July 2020

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
9529933123
Graduation Year
2015 (11 years ago)
PAC ID
2668785551
Group Practice PAC ID
7911819438
Professional Enrollment ID
I20180628000000
Address ID
MN554162527ST3850XBLVD400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

71 ALLERGY/IMMUNOLOGY in CT

Provider Addresses for DR. ALEXANDRA ROSE GRADEN (M.D.)

  • 333 Cedar Street

    YNHH- Department of Pediatrics

    New Haven, CT 065208064

    Phone: (203) 688-1946

    Type: Location

  • 200 1st St SW

    Rochester, MN 55905

    Phone: (507) 284-2511

    Type: Location

  • 3800 PARK NICOLLET BLVD

    ST LOUIS PARK, MN 554162527

    Phone: (952) 993-3123

    Fax: (952) 993-3286

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2018-06-28

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
I20180628000000IAllergy/ImmunologyMNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
95004Test for allergy using allergenic extract48421$0
99204New patient office or other outpatient visit, 45-59 minutes2323$0
94375Test to measure rate of airflow2218$0
95012Test to measure the level of nitric oxide gas2218$0
99214Established patient office or other outpatient visit, 30-39 minutes2116$0
View full utilization report →

Insurance plans in this area (ZIP 06520)

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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: 7911819438View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMN
Family PracticeMN
-MN
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMN
Cardiac ElectrophysiologyMN
Family PracticeMN
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physician AssistantMN
D E R M A T O L O G YMN

Reviews

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Frequently asked questions

What is the standard ID for DR. ALEXANDRA ROSE GRADEN (M.D.) in the U.S.?
In the U.S., DR. ALEXANDRA ROSE GRADEN (M.D.) is identified by NPI 1619355625.
Is DR. ALEXANDRA ROSE GRADEN (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. ALEXANDRA ROSE GRADEN (M.D.) as active.
What does the directory say DR. ALEXANDRA ROSE GRADEN (M.D.) does?
Insurance directories may phrase it differently, but here DR. ALEXANDRA ROSE GRADEN (M.D.) maps to Allergy & Immunology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. ALEXANDRA ROSE GRADEN (M.D.) in New Haven, Connecticut?
For routing, start with New Haven, Connecticut for DR. ALEXANDRA ROSE GRADEN (M.D.), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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