NPIMap

Individual provider Active NPI

Kraig S Graham, MD

  • Orthopaedic Surgery Physician
  • Suffolk, VA
National Provider Identifier
1174755961
Registry record updated Oct 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
0101259090 Issued in VA
Practice address
5838 Harbour View Blvd
Suite 108
Suffolk, VA 23435-2663
Phone
(757) 673-5680
Fax
(757) 483-3075
NPI assigned
Aug 13, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 0101259090 VA Primary

Addresses

Primary practice location

5838 Harbour View Blvd
Suite 108
Suffolk, VA 23435-2663

Mailing address

7007 Harbour View Blvd 108
Suffolk, VA 23435-3657
Phone (757) 215-2784

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230201003374 PA Practitioner - Orthopedic Surgery 0446560874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Pittsburgh School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Glade Run Medical Associates IncGroup PAC ID 3577696897, 27 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Cranberry Township, PA 16066-5238

77 Glade Dr
Kittanning, PA 16201-7140
Phone (724) 545-2205

Hospital & facility affiliations

  • Concordia Visiting Nurses Home health agency, Cabot, PA, CCN 397717
  • Acmh Hospital Hospital, Kittanning, PA, CCN 390163

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)19
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Glade Run Medical Associates CurrentSince Sep 20, 2022 Accepting new patients
Glade Run Medical Associates Inc Current Accepting new patients
Glade Run Medical Associates Inc CurrentSince Sep 20, 2022 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC Orthopaedic Surgery Past Accepting new patients

Locations

77 Glade Dr
Kittanning, PA 16201
Phone (724) 545-2205

700 Medical Arts Bldg
Ste 710
Kittanning, PA 16201
Phone (724) 543-8626

1 Nolte Dr
Kittanning, PA 16201
Phone (724) 543-8109

Organizations & group practices 4

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 8

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": "1250121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443744000000",
    "number": "1174755961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7007 HARBOUR VIEW BLVD 108",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353657",
            "telephone_number": "757-215-2784",
            "fax_number": "757-215-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5838 HARBOUR VIEW BLVD",
            "address_2": "SUITE 108",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234352663",
            "telephone_number": "757-673-5680",
            "fax_number": "757-483-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "KRAIG",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-13",
        "last_updated": "2015-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101259090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.