Individual provider Active NPI

Graham Litchman, D.O.

  • Surgery Physician
  • Lone Tree, CO
National Provider Identifier
1013443787
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0006568 Issued in CO
Practice address
1099 Ridgegate Parkway
Graduate Medical Education Office Suite 120,
Lone Tree, CO 80124
Phone
(720) 874-2406
Fax
(720) 476-3369
NPI assigned
May 2, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0006568 CO Primary

Addresses

Primary practice location

1099 Ridgegate Parkway
Graduate Medical Education Office Suite 120,
Lone Tree, CO 80124

Mailing address

951 Las Palmas Entrada Ave
Apt 1822
Henderson, NV 89012-5603
Phone (203) 940-0373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230905003554 NV Practitioner - Dermatology 7012370232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fife Dermatology PCGroup PAC ID 1355480252, 17 clinicians

Practice addresses (Care Compare)

6460 Medical Ctr St
Suite 350
Las Vegas, NV 89148-2423
Phone (702) 255-6647

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision14
Removal of skin lesions665
Removal or shaving of skin growth1-10
Skin biopsy215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0006568COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fife Dermatology, P.C. CurrentSince Aug 21, 2023 Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

1736 W Horizon Ridge Pkwy
Henderson, NV 89012
Phone (702) 255-6647

2110 E Flamingo Rd
Ste 216
Las Vegas, NV 89119
Phone (702) 413-9098

6460 Medical Center St
Ste 350
Las Vegas, NV 89148
Phone (702) 255-6647

2110 E Flamingo Rd
Ste 213
Las Vegas, NV 89119
Phone (702) 255-6647

6460 Medical Center St
Ste 200
Las Vegas, NV 89148
Phone (702) 255-6647

Interoperability endpoints

  • Direct secure messaging: glitchman@sdlc.emadirect.md

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1013443787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 LAS PALMAS ENTRADA AVE",
            "address_2": "APT 1822",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890125603",
            "telephone_number": "203-940-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 RIDGEGATE PARKWAY",
            "address_2": "GRADUATE MEDICAL EDUCATION OFFICE SUITE 120,",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "80124",
            "telephone_number": "720-874-2406",
            "fax_number": "720-476-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITCHMAN",
        "first_name": "GRAHAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-02",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "0006568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

Verify at the official NPI Registry.