R. Michael Graham, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

0101044491 Issued in VA

Practice address

100 Kingsley LN
Suite 300
Norfolk, VA 23505-4604

Phone

(757) 889-6580

Fax

(757) 889-6583

NPI assigned

Aug 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Bon Secours Depaul Medical Center Inc

  • Surgery Physician
  • Norfolk, VA
  • NPI 1215494380
  NPD (past)
• Vann-Virginia Center for Orthopaedics PC

  • Orthopaedic Surgery Physician
  • Virginia Beach, VA
  • NPI 1184666877
  NPD (past)
• Vann-Virginia Center for Orthopaedics PC

  • Orthopaedic Surgery Physician
  • Kill Devil Hills, NC
  • NPI 1669169983
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1083625511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGSLEY LN",
            "address_2": "SUITE 300",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235054604",
            "telephone_number": "757-889-6580",
            "fax_number": "757-889-6583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KINGSLEY LN",
            "address_2": "SUITE 300",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235054604",
            "telephone_number": "757-889-6580",
            "fax_number": "757-889-6583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "R.",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101044491",
            "primary": true
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "VA",
            "license": "0101044491",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010140811",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gracious Divine Home Care LLC
• Stephanie Graefe, NP
• Daniel Antonio Graf, M.D.
• Dawn Marie Graham, PHYSICIAN ASSISTANT
• Jacob Donald Graham, MD
• John David Grain
• Jon Andrew Grammes, DO
• Granby Internal Medicine PC
• Tina Renee Grandel, NNP
• Grandmas Comfort & Caring Hand, LLC

• Orthopaedic Surgery Physician in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Orthopaedic Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.