ROGER DICKINSON GRAULTY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1194079327

ROGER DICKINSON GRAULTY (CRNA) is a healthcare provider. based in Dallas, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 761179 (TX). The NPI Number for ROGER DICKINSON GRAULTY (CRNA) is 1194079327

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
ROGER DICKINSON GRAULTY (CRNA)
NPI
1194079327
Phone
(972) 715-5000
Address
PO BOX 650426
Enumeration Date
9 November 2012
Last Update Date
9 November 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8177023431
Graduation Year
2012 (14 years ago)
PAC ID
0244476604
Group Practice PAC ID
1254751407
Professional Enrollment ID
I20130410000184
Address ID
TX761044917FO1500XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

5,279 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX

Provider Addresses for ROGER DICKINSON GRAULTY (CRNA)

  • PO BOX 650426

    DALLAS, TX 752650426

    Phone: (972) 715-5000

    Type: Mailing

  • 13601 PRESTON RD

    SUITE 1000W

    DALLAS, TX 752404911

    Phone: (972) 663-8523

    Fax: (972) 663-8329

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $70.

Total Amount is formed as General ($70) + Research ($0) + Ownership ($0) = $70.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($51).

Total Amount

$70

General + Research + Ownership

Payments

4

Total payment records

General Amount

$70

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2013-04-10

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
I20130410000184ICertified Registered Nurse Anesthetist (Crna)TXTBD

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 75265)

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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: 1254751407View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YTX
A N E S T H E S I O L O G YTX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)FL

Reviews

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Frequently asked questions

What is ROGER DICKINSON GRAULTY (CRNA)'s NPI number?
ROGER DICKINSON GRAULTY (CRNA)'s NPI is 1194079327 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to ROGER DICKINSON GRAULTY (CRNA)?
You should see ROGER DICKINSON GRAULTY (CRNA) as active in CMS-hosted NPPES data.
What clinical focus is listed for ROGER DICKINSON GRAULTY (CRNA)?
At a glance, ROGER DICKINSON GRAULTY (CRNA) is tied to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ROGER DICKINSON GRAULTY (CRNA)?
Travel planning: use Dallas, Texas as the reference point for ROGER DICKINSON GRAULTY (CRNA), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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