Individual provider Active NPI

Emmanuel S. Graham, MD

  • Urology Physician
  • Christiansted, VI
National Provider Identifier
1275677965
Registry record updated Apr 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
1455 Issued in VI
Practice address
4F-5F Sunny Isles Professional Building
Christiansted, VI 00820
Phone
(340) 719-8761
Fax
(340) 719-8764
NPI assigned
Feb 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 1455 VI Primary

Addresses

Primary practice location

4F-5F Sunny Isles Professional Building
Christiansted, VI 00820

Mailing address

PO Box 6883
Christiansted, VI 00823-6883
Phone (340) 719-8761

Other identifiers 1

IdentifierTypeStateIssuer
002-8793OtherVIMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI
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

Enrollment IDStateProvider typePAC IDDetails
I20081022000673 VI Practitioner - Urology 5395803159 Reassigns benefits to 1 organization
Practice locations: Christiansted, VI

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Connecticut School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6300 Peter'S Rest
Suite 1
Christiansted, VI 00820-6300
Phone (340) 719-8761

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Graham Urological Center LLC CurrentSince May 8, 2018 Accepting new patients
Graham Urological Center Urology Current Accepting new patients

Locations

6300 Estate Peters Rst
Ste 1
Christiansted, VI 00820
Phone (340) 719-8761

4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423

Interoperability endpoints

  • Direct secure messaging: egraham@guro.curemd.direct-ci.com

Organizations & group practices 2

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 2

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": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239235200000",
    "number": "1275677965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6883",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008236883",
            "telephone_number": "340-719-8761",
            "fax_number": "340-719-8764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4F-5F SUNNY ISLES PROFESSIONAL BUILDING",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "00820",
            "telephone_number": "340-719-8761",
            "fax_number": "340-719-8764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "EMMANUEL",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2009-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "VI",
            "license": "1455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "002-8793",
            "state": "VI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansted, VI

Sources for this page

Verify at the official NPI Registry.