Individual provider Active NPI

L. David Graham, M.D.

  • Surgery Physician
  • Martinsville, VA
National Provider Identifier
1275930554
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101261221 Issued in VA
Practice address
319 Hospital Dr Ste 208
Martinsville, VA 24112-1948
Phone
(276) 656-2103
Fax
(276) 336-3248
NPI assigned
Dec 2, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 22168 TN
Surgery Physician 208600000X 0101261221 VA Primary

Addresses

Primary practice location

319 Hospital Dr Ste 208
Martinsville, VA 24112-1948

Mailing address

319 Hospital Dr Ste 208
Martinsville, VA 24112-1948
Phone (276) 656-2103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20170309000010 VA Practitioner - General Surgery 4082933486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Tennessee, HSC, College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

319 Hospital Dr
Suite 208
Martinsville, VA 24112-1948
Phone (276) 656-2103

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy29
Hernia repair - groin (open)1-10
Mastectomy12
Upper gastrointestinal (GI) endoscopy for acid reflux23
Melanoma (skin cancer) excision11
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22168TNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David Graham M.D., LLC Surgery CurrentSince Jan 1, 2017 Accepting new patients
Premier Surgical Associates, PLLC Surgery Past Accepting new patients

Locations

319 Hospital Dr
Ste 208
Martinsville, VA 24112
Phone (276) 656-2103

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": "1417478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1275930554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 HOSPITAL DR STE 208",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241121948",
            "telephone_number": "276-656-2103",
            "fax_number": "276-336-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 HOSPITAL DR STE 208",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241121948",
            "telephone_number": "276-656-2103",
            "fax_number": "276-336-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "L.",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-02",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "22168",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101261221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

Verify at the official NPI Registry.