Michael Graham, MD

Primary specialty

Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X

License

23389 Issued in AZ

Practice address

8352 W Warm Springs Rd Ste 200
Las Vegas, NV 89113-3629

Phone

(702) 330-0555

Fax

(702) 832-1128

NPI assigned

Feb 16, 2006

Last updated

Aug 26, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

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

Locations

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.

• Hemostasis and Thrombosis Center of Nevada

  • Medical Specialty Clinic/Center
  • Las Vegas, NV
  • NPI 1508378977

  Pediatric Hematology-Oncology

  Medicare reassignment NPD
• Hemostasis & Thrombosis Center of NV Pharmacy

  • Medical Specialty Clinic/Center
  • Las Vegas, NV
  • NPI 1669038790
  NPD (past)

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1164496923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8352 W WARM SPRINGS RD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891133629",
            "telephone_number": "702-330-0555",
            "fax_number": "702-832-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8352 W WARM SPRINGS RD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891133629",
            "telephone_number": "702-330-0555",
            "fax_number": "702-832-1128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6880 S McCarran Blvd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895096129",
            "country_code": "US",
            "telephone_number": "702-330-0555",
            "fax_number": "702-832-1128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "AZ",
            "license": "23389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA MEDICARE FARGO PART B",
            "identifier": "Z138332",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keisha Graham, MSW, LCSW
• Kristina Graham, APRN-CNP
• Lakesha Graham
• Lisa Rae Graham
• Marion Graham
• Miya Graham
• Moneshia Graham
• Naomi Joanne Graham, MD
• Paris Graham
• Patryce Graham

• Pediatric Hematology & Oncology Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Pediatric Hematology & Oncology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.