NPIMap

Individual provider Active NPI

Katherine Elizabeth McGraw, M.D.

  • Pediatrics Physician
  • Mitchell, SD
National Provider Identifier
1144203514
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
7119 Issued in SD
Practice address
1200 S Burr St Ste B
Mitchell, SD 57301-4585
Phone
(605) 292-0695
Fax
(605) 292-0699
NPI assigned
Nov 21, 2005
Last updated
Apr 7, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X L9352 TX
Pediatrics Physician 208000000X 7119 SD Primary

Addresses

Primary practice location

1200 S Burr St Ste B
Mitchell, SD 57301-4585

Mailing address

PO Box 459
Mitchell, SD 57301-0459
Phone (605) 630-0407

Other identifiers 1

IdentifierTypeStateIssuer
6702170MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, OR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090311000590 SD Practitioner - Pediatric Medicine 5890748693 Reassigns benefits to 3 organizations
I20130212000581 OR Practitioner - Pediatric Medicine 5890748693 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Rapid City Hospital Inc CurrentSince Jul 12, 2024 Accepting new patients
Monument Health Rapid City Hospital, Inc CurrentSince Jul 12, 2024 Accepting new patients
Rural Health Care, Inc CurrentSince Nov 1, 2019 Accepting new patients
Rural Health Care, Inc. Current Accepting new patients
Rural Health Care, Inc CurrentSince Nov 1, 2019 Accepting new patients
Avera Queen of Peace Current Accepting new patients
City of Austin Past Accepting new patients
Sanford Clinic Past Accepting new patients
Sanford Clinic Pediatrics Past Accepting new patients
Monument Health Rapid City Hospital, Inc. Past Accepting new patients
Acs Primary Care Physicians Southwest, PA Past Accepting new patients

Locations

1900 Grassland Dr
Ste 103
Mitchell, SD 57301
Phone (605) 995-4900

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

Interoperability endpoints

  • Direct secure messaging: katherine.mcgraw@avera.sdhealthlink.net

Organizations & group practices 12

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": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239062400000",
    "number": "1144203514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 459",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573010459",
            "telephone_number": "605-630-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S BURR ST STE B",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573014585",
            "telephone_number": "605-292-0695",
            "fax_number": "605-292-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGRAW",
        "first_name": "KATHERINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2009-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L9352",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SD",
            "license": "7119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6702170",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mitchell, SD

Sources for this page

Verify at the official NPI Registry.