NATALIE BANKS GRISHAM (MD) – Trauma Surgery Physician, NPI 1134567548

NATALIE BANKS GRISHAM (MD) is a healthcare provider. based in Falls church, Virginia. specializing in Trauma Surgery Physician. They hold the professional credentials MD. They hold a License No. 0116025854 (VA). The NPI Number for NATALIE BANKS GRISHAM (MD) is 1134567548

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
NATALIE BANKS GRISHAM (MD)
NPI
1134567548
Phone
(703) 776-4001
Address
3300 Gallows Rd
Enumeration Date
7 June 2013
Last Update Date
26 October 2020

Doctor Profile

Medical School Name
WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5803545000
Graduation Year
2013 (13 years ago)
PAC ID
6800190844
Group Practice PAC ID
6406800234
Professional Enrollment ID
I20190611003583
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:13State licenses:3Digital endpointsOther names

Provider Addresses for NATALIE BANKS GRISHAM (MD)

  • 3300 Gallows Rd

    Falls Church, VA 220423307

    Phone: (703) 776-4001

    Type: Location

  • 5 SAINT VINCENT CIR

    STE 210

    LITTLE ROCK, AR 722055416

    Phone:

    Type: Mailing

  • 1515 NE LAWRIE TATUM RD

    LAWTON, OK 735073002

    Phone: (580) 354-5000

    Type: Location

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 $3,000.

Total Amount is formed as General ($3,000) + Research ($0) + Ownership ($0) = $3,000.

Last reported payment date: 2023-01-04 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($3,000).

Total Amount

$3,000

General + Research + Ownership

Payments

1

Total payment records

General Amount

$3,000

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Intuitive Surgical, Inc.$3,000
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: 2020-10-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20190611003583IGeneral SurgeryTXTBD
I20201029000651IGeneral SurgeryARTBD

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 22042)

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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: 6406800234View full group profile
NameSpecialtyState
Diagnostic RadiologyOK
-OK
Diagnostic RadiologyOK
Nurse PractitionerOK
Diagnostic RadiologyOK
Diagnostic RadiologyTX
Diagnostic RadiologyOK
Diagnostic Radiology, Interventional Radiology, Diagnostic RadiologyOK
Interventional Radiology, Diagnostic Radiology, Diagnostic RadiologyOK
-VA

Reviews

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Frequently asked questions

Can I cross-check NATALIE BANKS GRISHAM (MD) using NPI 1134567548?
NPI 1134567548 belongs to NATALIE BANKS GRISHAM (MD); compare other details if you need extra assurance.
Is NATALIE BANKS GRISHAM (MD) shown as active in public data?
Registry records indicate NATALIE BANKS GRISHAM (MD) maintains an active NPI.
How would a patient describe NATALIE BANKS GRISHAM (MD)'s focus?
For NATALIE BANKS GRISHAM (MD), the primary taxonomy reads as Trauma Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with NATALIE BANKS GRISHAM (MD)?
Directory geography for NATALIE BANKS GRISHAM (MD) centers on Falls Church, Virginia.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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