Individual provider Active NPI

Jeremy D Graham, DO

  • Internal Medicine Physician
  • Spokane, WA
National Provider Identifier
1093767303
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OP00001872 Issued in WA
Practice address
914 W Carlisle Ave
Spokane, WA 99205
Phone
(509) 444-8888
Fax
(509) 444-7806
NPI assigned
May 16, 2006
Last updated
Jul 2, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OP00001872 WA Primary

Addresses

Primary practice location

914 W Carlisle Ave
Spokane, WA 99205

Mailing address

203 N Washington St Ste 300
Spokane, WA 99201-0254
Phone (509) 444-8888

Other identifiers 1

IdentifierTypeStateIssuer
8350118MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040804000525 WA Practitioner - Family PracticePractitioner - Internal Medicine 4688645575 Reassigns benefits to 3 organizations
I20260227002597 CO Practitioner - Internal Medicine 4688645575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wheat Ridge Internal Medicine PCGroup PAC ID 2961393145, 11 clinicians

Practice addresses (Care Compare)

7821 W 38TH Ave
Wheat Ridge, CO 80033-6109
Phone (303) 422-2343

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Washington CurrentSince Apr 1, 2012 Accepting new patients
Providence Health & Services Washington Internal Medicine CurrentSince Apr 1, 2012 Accepting new patients
Wheat Ridge Internal Medicine PC Internal Medicine CurrentSince Jan 14, 2026 Accepting new patients
Community Health Association of Spokane Current Accepting new patients
Inpatient Consultants of California, Inc. Internal Medicine CurrentSince Oct 21, 2012 Accepting new patients
Community Health Association of Spokane CurrentSince Nov 13, 2018 Accepting new patients
Community Health Association of Spokane CurrentSince Nov 13, 2018 Accepting new patients
Inpatient Consultants of California, Inc Internal Medicine CurrentSince Oct 21, 2012 Accepting new patients
Inland Empire Hospital Services Association Past Accepting new patients

Locations

7821 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 422-2343

1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701

1001 W 2nd Ave
Spokane, WA 99201
Phone (509) 835-1205

101 W 8th Ave
Spokane, WA 99204
Phone (509) 474-3181

101 W 8th Ave
Ste 100
Spokane, WA 99204
Phone (509) 474-2880

104 W 5th Ave
Ste 200W
Spokane, WA 99204
Phone (509) 624-2313

203 N Washington St
Ste 300
Spokane, WA 99201

5633 N Lidgerwood St
Spokane, WA 99208
Phone (509) 482-0111

910 N Washington St
Spokane, WA 99201
Phone (509) 327-9831

910 N Washington St
Ste 209
Spokane, WA 99201
Phone (509) 232-1192

914 W Carlisle Ave
Spokane, WA 99205
Phone (509) 325-0393

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/7154

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, 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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1093767303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 N WASHINGTON ST STE 300",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010254",
            "telephone_number": "509-444-8888",
            "fax_number": "509-444-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 W CARLISLE AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99205",
            "telephone_number": "509-444-8888",
            "fax_number": "509-444-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "JEREMY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "OP00001872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8350118",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.