Individual provider Active NPI

Reed B Graham, DPM

  • Foot & Ankle Surgery Podiatrist
  • Akron, OH
National Provider Identifier
1114915931
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36-00-2836-G Issued in OH
Practice address
696 Canton Rd Ste 1
Akron, OH 44312-2632
Phone
(330) 535-8202
Fax
(330) 535-3065
NPI assigned
Oct 6, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 36-0002836 OH
Foot & Ankle Surgery Podiatrist 213ES0103X 36-00-2836-G OH Primary

Addresses

Primary practice location

696 Canton Rd Ste 1
Akron, OH 44312-2632

Mailing address

696 Canton Rd Ste 1
Akron, OH 44312-2632
Phone (330) 535-8202

Other identifiers 1

IdentifierTypeStateIssuer
3139259MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070905000004 OH Practitioner - Podiatry 9032142278 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Specialty Physicians CorporationGroup PAC ID 3476643479, 67 clinicians

Practice addresses (Care Compare)

6046 Whipple Ave NW
Canton, OH 44720-7616
Phone (330) 479-8705

696 Canton Rd
Suite 1
Akron, OH 44312-2632
Phone (330) 535-8202

Hospital & facility affiliations

  • Alliance Community Hospital Hospital, Alliance, OH, CCN 360131

Merit-based Incentive Payment System (MIPS)

Final score
80.3 of 100Reported as group
Quality
58.08
Promoting interoperability
100
Improvement activities
40
Cost
76.25

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as group
Quality
77.5
Promoting interoperability
98
Improvement activities
40
Cost
74.58

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue46
Removal of nail tissue837
Removal or shaving of skin growth269

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36-0002836OHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Specialty Physicians Corporation Foot & Ankle Surgery CurrentSince Jun 17, 2024 Accepting new patients
Reed Graham DPM Inc Single Specialty CurrentSince Sep 1, 2010 Accepting new patients
Ohio Specialty Physicians Corporation Single Specialty CurrentSince Jun 17, 2024 Accepting new patients
Windy Cole DPM Single Specialty Past Accepting new patients
Jason T Bakich DPM LLC Single Specialty Past Accepting new patients
The Lower Extremity Specialty Alliance, LTD Single Specialty PastSince Mar 1, 2020 Accepting new patients

Locations

696 Canton Rd
Ste 1
Akron, OH 44312
Phone (330) 535-8202

1900 S Union Ave
Ste 100
Alliance, OH 44601
Phone (330) 596-6500

270 E State St
Ste 240
Alliance, OH 44601
Phone (330) 596-6560

2600 Tuscarawas St W
Ste 520
Canton, OH 44708
Phone (330) 454-0702

1020 Trump Rd NW
Ste 1
Carrollton, OH 44615
Phone (330) 433-1258

6046 Whipple Ave NW
North Canton, OH 44720
Phone (330) 433-1200

6100 Whipple Ave NW
North Canton, OH 44720
Phone (330) 244-8778

Interoperability endpoints

  • Direct secure messaging: reed.graham@direct.aultman.org

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1114915931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "696 CANTON RD STE 1",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443122632",
            "telephone_number": "330-535-8202",
            "fax_number": "330-535-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 CANTON RD STE 1",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443122632",
            "telephone_number": "330-535-8202",
            "fax_number": "330-535-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "REED",
        "middle_name": "B",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36-0002836",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36-00-2836-G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3139259",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.