James Wagter Graham, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

01055620A Issued in IN

Practice address

Madigan Army Medical Ctr
MCHJ-CLR, Department of Radiology
Tacoma, WA 98431-0001

Phone

(253) 968-2130

Fax

(253) 968-3140

NPI assigned

Jan 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, GA, VT, OH, PA, NJ, CA7 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 7

Specialty

Diagnostic Radiology

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Reono Bertagnolli a Medical GroupGroup PAC ID 6800709783, 47 clinicians

Symphony Diagnostic Services No 1 LLCGroup PAC ID 5193638765, 20 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

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 and National Provider Directory roles.

• Reono Bertagnolli a Medical Group

  • Diagnostic Radiology Physician
  • San Leandro, CA
  • NPI 1134424005

  GA, NJ, OH, PA, WA

  Medicare reassignment Care Compare group
• Symphony Diagnostic Services No 1 LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Hunt Valley, MD
  • NPI 1700865094

  NJ, VT, WA

  Medicare reassignment Care Compare group
• Kan-Di-Ki LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Tukwila, WA
  • NPI 1124340039
  Medicare reassignment NPD
• American Diagnostics Services LLC

  • Physiological Laboratory
  • Windsor Mill, MD
  • NPI 1639140387

  Diagnostic Radiology, WA

  Medicare reassignment NPD
• Bucktail Medical Center

  • Critical Access Hospital
  • Renovo, PA
  • NPI 1821083700
  Medicare reassignment NPD
• Bucktail Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Renovo, PA
  • NPI 1982681102
  Medicare reassignment NPD
• State of New Jersey Omb Centralized Payroll

  • Psychiatric Hospital
  • Trenton, NJ
  • NPI 1467552240
  Medicare reassignment NPD
• Community Mobile Diagnostics LLC

  • Diagnostic Radiology Physician
  • San Leandro, CA
  • NPI 1023104007

  WA

  Medicare reassignment
• Kan-Di-Ki LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • North Hollywood, CA
  • NPI 1750364345

  NJ

  Medicare reassignment
• Kan-Di-Ki LLC

  • Diagnostic Ultrasound Physician
  • Tukwila, WA
  • NPI 1407151475
  NPD
• American Diagnostics Services LLC

  • Physiological Laboratory
  • Hunt Valley, MD
  • NPI 1487954913
  NPD
• Bucktail Medical Center

  • Ambulance
  • Renovo, PA
  • NPI 1518944735
  NPD

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1194705558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984310001",
            "telephone_number": "253-968-1110",
            "fax_number": "253-968-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MADIGAN ARMY MEDICAL CTR",
            "address_2": "MCHJ-CLR, DEPARTMENT OF RADIOLOGY",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984310001",
            "telephone_number": "253-968-2130",
            "fax_number": "253-968-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "JAMES",
        "middle_name": "WAGTER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01055620A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Deeanne Graff, RD
• Ronald M Graff, P.A.
• A.Simone Graham
• Brittney Sharrell Graham, DO
• Denise Marie Graham, L.M.P.
• Jamie Graham
• Margaret E Graham
• Terry Lane Gram, PA-C
• Robert K. Gramenz, D.O.
• Joseph Gramling, M.D.

• Diagnostic Radiology Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Diagnostic Radiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.