Larry C Graham II, MD

Primary specialty

Body Imaging PhysicianTaxonomy code 2085B0100X

License

04-28763 Issued in KS

Practice address

3600 E Harry St
Wichita, KS 67218-3713

Phone

(316) 689-5050

Fax

(316) 689-6192

NPI assigned

Nov 18, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 8

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Diagnostic Radiology

Education

University of Arkansas College of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Concord Radiology PLLCGroup PAC ID 8628332061, 217 clinicians

McPherson Hospital IncGroup PAC ID 1153232418, 66 clinicians

Kansas Imaging Consultants PAGroup PAC ID 8921082041, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Susan B Allen Memorial Hospital Hospital, El Dorado, KS, CCN 170017
• Ascension Via Christi Hospitals Wichita, Inc. Hospital, Wichita, KS, CCN 170122
• McPherson Hospital Hospital, McPherson, KS, CCN 170105
• Pratt Regional Medical Center Hospital, Pratt, KS, CCN 170027
• Via Christi Hospital Wichita St Teresa, Inc Hospital, Wichita, KS, CCN 170200

Merit-based Incentive Payment System (MIPS)

Final score

84.81 of 100Reported as group

Quality

85

Improvement activities

40

Cost

76.86

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: larry.graham@directsbamh.org

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

• Kansas Imaging Consultants, PA

  • Diagnostic Radiology Physician
  • Wichita, KS
  • NPI 1841267663

  Body Imaging

  Medicare reassignment Care Compare group NPD
• McPherson Hospital, Inc.

  • Rural Health Clinic/Center
  • McPherson, KS
  • NPI 1164524591
  Medicare reassignment Care Compare group NPD
• Concord Radiology PLLC

  • Diagnostic Radiology Physician
  • Lubbock, TX
  • NPI 1598260515

  KS

  Medicare reassignment Care Compare group NPD
• Coaxion PLLC

  • Diagnostic Radiology Physician
  • Lubbock, TX
  • NPI 1629805221

  KS

  Medicare reassignment NPD
• Family Practice Associates of McPherson, L.L.P.

  • Family Medicine Physician
  • McPherson, KS
  • NPI 1588627384
  NPD
• McPherson Hospital, Inc.

  dba McPherson Hospital Hospitalist Service

  • Hospitalist Physician
  • McPherson, KS
  • NPI 1821620378
  NPD
• Sunflower Imaging

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Wichita, KS
  • NPI 1518721877
  NPD
• Preferred Pet Imaging of Kansas LLC

  • Nuclear Radiology Physician
  • Wichita, KS
  • NPI 1841267481
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ascension Via Christi Hospital St Teresa Inc.

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1023334950
  Care Compare affiliation
• Ascension Via Christi Hospitals Wichita Inc.

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1154314789
  Care Compare affiliation
• McPherson Hospital, Inc.

  • General Acute Care Hospital
  • McPherson, KS
  • NPI 1730297409
  Care Compare affiliation
• Pratt Regional Medical Center Corporation

  dba Pratt Regional Medical Center

  • Rural Acute Care Hospital
  • Pratt, KS
  • NPI 1578596904
  Care Compare affiliation
• Susan B. Allen Memorial Hospital

  • General Acute Care Hospital
  • El Dorado, KS
  • NPI 1700994977
  Care Compare affiliation

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384905600000",
    "number": "1023090503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13715 PINNACLE DR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672301545",
            "telephone_number": "316-733-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 E HARRY ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183713",
            "telephone_number": "316-689-5050",
            "fax_number": "316-689-6192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "LARRY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2013-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "KS",
            "license": "04-28763",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "KS",
            "license": "04-28763",
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "KS",
            "license": "04-28763",
            "primary": true
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "KS",
            "license": "04-28763",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "KS",
            "license": "04-28763",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "KS",
            "license": "04-28763",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "04-28763",
            "primary": false
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "KS",
            "license": "04-28763",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100420330C",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100173090A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023090503",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "300132252",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Jeanne Graham, LMSW
• Annette Graham, LSCSW
• Charles E Graham, P.T.
• Kaann A Graham
• Kimberly Graham, DO
• Olivia N Graham, PTA
• Sandra Graham, OTR
• Sarah Graham
• Toni Graham, AAPS
• Rochelle M Grahem, LPN

• Body Imaging Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Body Imaging Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.