Active NPI
Kimberlie A Graeme, M.D.
- Emergency Medicine Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 23462
- Practice address
- 5777 E Mayo Blvd
Phoenix, AZ 85054-4502 - Phone
- (480) 301-8000
- NPI assigned
- Nov 30, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 23462 | AZ | Primary |
Addresses
Primary practice location
5777 E Mayo Blvd
Phoenix, AZ 85054-4502
Mailing address
5777 E Mayo Blvd
Phoenix, AZ 85054-4502
Phone (480) 301-8000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86080015085259A569 | Other | AZ | TRIWEST |
| 930087230 | Other | AZ | RR MEDICARE |
| 331695 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Arizona College of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2000
1300 N 12TH St
Suite 508
Phoenix, AZ 85006-2849
Phone (602) 839-3927
Hospital & facility affiliations
- Banner - University Medical Center Phoenix
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.85 of 100
- Quality
- 69.75
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 68.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00000 | AZ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Professional Services PC | Emergency Medicine | Current | Accepting new patients |
| Banner - University Hospital Based Physicians LLC | Current | Accepting new patients | |
| Emergency Professional Services PC | Emergency Medicine | Current | Accepting new patients |
| Banner - University Physician Specialists LLC | Current | Accepting new patients | |
| Emergency Professional Services PC | Emergency Medicine | Current | Accepting new patients |
| Banner - University Physician Specialists LLC | Current | Accepting new patients | |
| Banner - University Hospital Based Physicians LLC | Current | Accepting new patients | |
| Banner - University Medical Center Phoenix | Past | Accepting new patients | |
| Phoenix Children'S Hospital | Past | Accepting new patients |
Locations
2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200
925 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-4498
1300 N 12th St
Ste 508
Phoenix, AZ 85006
Phone (602) 839-3927
1300 N 12th St
Ste 301
Phoenix, AZ 85006
Phone (602) 239-6968
9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
925 E McDowell Rd
Fl 3
Phoenix, AZ 85006
Phone (602) 839-5895
1300 N 12th St
Ste 608
Phoenix, AZ 85006
Phone (602) 254-5321
Organizations & group practices 9
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.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1437529245
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1750751566
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1518984210
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1538879481
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1164255865
-
- Emergency Medicine Physician
- Apache Junction, AZ
- NPI 1205273406
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1225055924
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1841224870
-
- Children's Hospital
- Phoenix, AZ
- NPI 1760480503
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1841224870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312934400000",
"number": "1073597431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5777 E MAYO BLVD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850544502",
"telephone_number": "480-301-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5777 E MAYO BLVD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850544502",
"telephone_number": "480-301-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAEME",
"first_name": "KIMBERLIE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-30",
"last_updated": "2011-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "23462",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIWEST",
"identifier": "86080015085259A569",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "930087230",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "331695",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; 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.