Active NPI
Rudi-Ann Tamara Graham, M.D.
- Pediatrics Physician
- Miami, FL
National Provider Identifier
1215311998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 21979
- Practice address
- 1444 NW 14TH Ave
Apartment 1107
Miami, FL 33125-1686 - Phone
- (305) 903-5650
- NPI assigned
- Jul 13, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 21979 | FL | Primary |
Addresses
Primary practice location
1444 NW 14TH Ave
Apartment 1107
Miami, FL 33125-1686
Mailing address
1444 NW 14TH Ave.
Apartment 1107
Miami, FL 33125
Phone (305) 903-5650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21979 | FL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436745600000",
"number": "1215311998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1444 NW 14TH AVE.",
"address_2": "APARTMENT 1107",
"city": "MIAMI",
"state": "FL",
"postal_code": "33125",
"telephone_number": "305-903-5650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1444 NW 14TH AVE",
"address_2": "APARTMENT 1107",
"city": "MIAMI",
"state": "FL",
"postal_code": "331251686",
"telephone_number": "305-903-5650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "RUDI-ANN",
"middle_name": "TAMARA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-13",
"last_updated": "2015-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "21979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.